Individual
TAWAKALITU AFOLASHADE BABAWALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 VILLAGE DR, HAZEL CREST, IL 60429-2441
(773) 719-0070
Mailing address
3710 VILLAGE DR, HAZEL CREST, IL 60429-2441
(773) 719-0070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209021671
IL
Other
Enumeration date
08/08/2020
Last updated
08/08/2020
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