Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gabriel Ifejiasi

Individual provider Home Health Registered Nurse · NPI 1962209759

Gabriel Ifejiasi is a Home Health Registered Nurse in Lynwood, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
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Practice location Address checks out

20067 Marlin Ct
Lynwood, IL 60411-6903
Phone: (708) 308-1702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Registered Nurse (primary) Taxonomy 163WH0200X · Licence 041487014 (IL)

Record details

NPI number1962209759
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 27, 2025
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025

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