Provider Demographics
NPI:1457222853
Name:AVOSEH, FELICIA ATOKE
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:ATOKE
Last Name:AVOSEH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16147 OXFORD DR
Mailing Address - Street 2:
Mailing Address - City:MARKHAM
Mailing Address - State:IL
Mailing Address - Zip Code:60428-4726
Mailing Address - Country:US
Mailing Address - Phone:708-704-8165
Mailing Address - Fax:
Practice Address - Street 1:16147 OXFORD DR
Practice Address - Street 2:
Practice Address - City:MARKHAM
Practice Address - State:IL
Practice Address - Zip Code:60428-4726
Practice Address - Country:US
Practice Address - Phone:708-704-8165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other