Provider Demographics
NPI:1023229283
Name:ARIYO, WASIU O (NP)
Entity type:Individual
Prefix:MR
First Name:WASIU
Middle Name:O
Last Name:ARIYO
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4930 PHEASANT CT
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-3384
Mailing Address - Country:US
Mailing Address - Phone:219-472-0936
Mailing Address - Fax:
Practice Address - Street 1:7131 S JEFFERY BLVD STE A
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-2176
Practice Address - Country:US
Practice Address - Phone:773-256-0526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-26
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL277003381363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily