Omolola Nicole Ometoruwa
Omolola Nicole Ometoruwa is a Physician Assistant in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
3501 N Halsted StChicago, IL 60657-1832
Phone: (773) 388-1600
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 085.012277 (IL) |
Record details
| NPI number | 1962298398 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 15, 2025 |
| Last updated in NPPES | August 4, 2026 |
| Certification date | August 4, 2026 |
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