Provider Demographics
NPI:1770195059
Name:AWOSIKA, OLUWAFISAYO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:OLUWAFISAYO
Middle Name:
Last Name:AWOSIKA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12000 PRINCETON DR
Mailing Address - Street 2:
Mailing Address - City:HUNTLEY
Mailing Address - State:IL
Mailing Address - Zip Code:60142-7654
Mailing Address - Country:US
Mailing Address - Phone:224-569-6518
Mailing Address - Fax:
Practice Address - Street 1:12000 PRINCETON DR
Practice Address - Street 2:
Practice Address - City:HUNTLEY
Practice Address - State:IL
Practice Address - Zip Code:60142-7654
Practice Address - Country:US
Practice Address - Phone:224-569-6518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-19
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051300071183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1746072OtherCOMMERCIAL INSURANCES
IL1746072Medicaid