TINLEY EUTHYMIA LLC NPI 1861190522

NPI Information

NPI: 1861190522
Provider Name: TINLEY EUTHYMIA LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1038 RICHARD AVE
BERKELEY, IL
ZIP 60163
Phone: (708) 554-3917
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TINLEY EUTHYMIA LLC is a psychiatric/mental health nurse practitioner in Berkeley, IL. TINLEY EUTHYMIA LLC NPI is 1861190522. The provider is registered as an organization entity type.

The provider's business location address is:

1038 RICHARD AVE
BERKELEY, IL
ZIP 60163-026
Phone: (708) 554-3917
Fax: (708) 273-5525

The provider's authorized official is Olalekan Moses Fapohunda .
The authorized official title is Psychiatric Nurse Practitioner and has the following contact phone number (708) 554-3917.

The enumeration date for this NPI number is 2/21/2023 and was last updated on 2/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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