Provider Demographics
NPI:1699488692
Name:OBA, ESTHER ABIOLA
Entity type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:ABIOLA
Last Name:OBA
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 1:17913 NORMANDY LN
Mailing Address - Street 2:
Mailing Address - City:HAZEL CREST
Mailing Address - State:IL
Mailing Address - Zip Code:60429-2217
Mailing Address - Country:US
Mailing Address - Phone:708-262-6660
Mailing Address - Fax:
Practice Address - Street 1:17913 NORMANDY LN
Practice Address - Street 2:
Practice Address - City:HAZEL CREST
Practice Address - State:IL
Practice Address - Zip Code:60429-2217
Practice Address - Country:US
Practice Address - Phone:708-262-6660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041357079163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical