Mutiatu Modupe Moibi
Mutiatu Modupe Moibi is a Nurse Practitioner in Chicago, Illinois. Qualified in 2023, 3 years ago. Practices with Paragon Clinical LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 3
- Licensed in
- IL
- In the registry since
- 2025
Practice location Address checks out
4621 N Racine AveChicago, IL 60640-4905
Phone: (773) 784-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 209030990 (IL) |
|---|
Record details
| NPI number | 1831999176 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 17, 2025 |
| Last updated in NPPES | March 17, 2025 |
| Certification date | March 16, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Paragon Clinical Llc — 16 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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