Provider Demographics
NPI:1326490731
Name:AKINOSUN, FOLUKE
Entity Type:Individual
Prefix:
First Name:FOLUKE
Middle Name:
Last Name:AKINOSUN
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 1:2580 ADAMSWAY DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60502-9082
Mailing Address - Country:US
Mailing Address - Phone:630-697-7879
Mailing Address - Fax:630-206-2479
Practice Address - Street 1:2580 ADAMSWAY DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60502-9082
Practice Address - Country:US
Practice Address - Phone:630-697-7879
Practice Address - Fax:630-206-2479
Is Sole Proprietor?:No
Enumeration Date:2016-07-08
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1040758225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist