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Individual
ADEBAYO BADEMOSI
Active
Individual
ADEBAYO BADEMOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-101658
IL
207Q00000X
Family Medicine Physician
Primary
01066470A
IN
207Q00000X
Family Medicine Physician
036101658
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03610165801
—
IL
05
—
300010994
—
IN
Enumeration date
08/25/2006
Last updated
03/13/2021
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