Provider Demographics
NPI:1124845466
Name:OLORUNSHOLA, TOLUTOPE OPEYEMI
Entity type:Individual
Prefix:MRS
First Name:TOLUTOPE
Middle Name:OPEYEMI
Last Name:OLORUNSHOLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1365 WILEY RD STE 142
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4357
Mailing Address - Country:US
Mailing Address - Phone:331-245-4274
Mailing Address - Fax:847-770-0663
Practice Address - Street 1:1365 WILEY RD STE 142
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4357
Practice Address - Country:US
Practice Address - Phone:331-245-4274
Practice Address - Fax:847-770-0663
Is Sole Proprietor?:No
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3002332376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker