Provider Demographics
NPI:1649039520
Name:OSEI-TUTU, GLORIA ESI (APRN)
Entity type:Individual
Prefix:
First Name:GLORIA
Middle Name:ESI
Last Name:OSEI-TUTU
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CERMAK HEALTH SERVICES OF COOK COUNTY
Mailing Address - Street 2:2800 S CALIFORNIA AVE
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608
Mailing Address - Country:US
Mailing Address - Phone:773-674-0574
Mailing Address - Fax:
Practice Address - Street 1:CERMAK HEALTH SERVICES OF COOK COUNTY
Practice Address - Street 2:2800 S CALIFORNIA AVE
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608
Practice Address - Country:US
Practice Address - Phone:773-674-0574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.029403207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine