Provider Demographics
NPI:1467150094
Name:OHIKU, KINGSLEY OSHO
Entity Type:Individual
Prefix:
First Name:KINGSLEY
Middle Name:OSHO
Last Name:OHIKU
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 1:20698 EAGLE BLUFF CT
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-3511
Mailing Address - Country:US
Mailing Address - Phone:312-339-6694
Mailing Address - Fax:
Practice Address - Street 1:20698 EAGLE BLUFF CT
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-3511
Practice Address - Country:US
Practice Address - Phone:312-339-6694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation