Individual
DR. ADEKOLA ABIOUDUN ASHAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 W STATE ST, ROCKFORD, IL 61102-2112
(815) 490-1600
(815) 490-1881
Mailing address
1200 W STATE ST, ROCKFORD, IL 61102-2112
(815) 490-1600
(815) 490-1881
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036096690
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096690
—
IL
Enumeration date
11/22/2005
Last updated
02/21/2013
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