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Contact Information

IYEOKAN E ATIVIE, FNP-C
2050 NELSON RD
NEW LENOX, IL60451-8537
 Phone: 815-463-5281
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for IYEOKAN E ATIVIE · (Female)

NPI # 1205421815
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 03/05/2021
Last updated 03/05/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 209022852
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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