Provider Demographics
NPI:1871359521
Name:OJELABI, OLUWATOSIN E
Entity type:Individual
Prefix:
First Name:OLUWATOSIN
Middle Name:E
Last Name:OJELABI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 BILSTONE DR
Mailing Address - Street 2:
Mailing Address - City:LYNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60411-1576
Mailing Address - Country:US
Mailing Address - Phone:708-663-0902
Mailing Address - Fax:708-816-4014
Practice Address - Street 1:2201 BILSTONE DR
Practice Address - Street 2:
Practice Address - City:LYNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60411-1576
Practice Address - Country:US
Practice Address - Phone:708-663-0902
Practice Address - Fax:708-816-1731
Is Sole Proprietor?:No
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator