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Active NPI 1861190522 Organization (Entity Type 2)

Tinley Euthymia Llc

Nurse Practitioner - Psychiatric/Mental Health • Berkeley, IL

About Tinley Euthymia Llc NPI 1861190522 Summary

Tinley Euthymia Llc is a verified healthcare organization specializing in Nurse Practitioner - Psychiatric/Mental Health operating in Berkeley, IL. Located at 1038 RICHARD AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1861190522.

Administrative operations and authorized compliance are overseen by Olalekan Fapohunda (Psychiatric Nurse Practitioner).

Facility Location & Contact Primary Location

Facility Address

1038 Richard Ave

Berkeley, IL 601631026

Telephone 7085543917

Fax 7082735525

Authorized Official Information

Authorized Contact Name

DR. Olalekan Fapohunda , DNP, APN

Title / Role

Psychiatric Nurse Practitioner

Official Telephone

7085543917

Facility Classifications & Specialties

Nurse Practitioner - Psychiatric/Mental Health Primary Taxonomy

NUCC Taxonomy Code: 363LP0808X

Definition to come...

Clinic/Center - Health Service

NUCC Taxonomy Code: 261QH0100X

Definition to come...

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

8 Historical Events

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Updated Practice Location February 14, 2024

Registered at 1038 RICHARD AVE, BERKELEY, IL 601631026 (Tel: 7085543917)

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Organization / Clinic Name Updated March 23, 2023

Operating as TINLEY EUTHYMIA LLC

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NPI Profile Active March 04, 2023

NPI status registered as active in NPPES database

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Updated Practice Location March 04, 2023

Registered at 824 E 43RD ST, CHICAGO, IL 606532906 (Tel: 7085543917)

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Updated Business Mailing Address March 04, 2023

Registered at 20015 S LAGRANGE RD # 1513, FRANKFORT, IL 604233104 (Tel: 7085543917)

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Organization / Clinic Name Updated March 04, 2023

Operating as TINLEY EUTHYMIA

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2023

Clinic/Center

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Initial NPI Registration & Enumeration February 21, 2023

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1861190522

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: February 21, 2023

Last Update: February 14, 2024

Update or Correct Listing

Mailing Address

20015 S Lagrange Rd # 1513

Frankfort, IL 604233104

Phone: 7085543917

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.