Individual
ISAAC KOLAWOLE AGBOOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2114
(847) 570-1223
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2114
(847) 570-1223
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036160081
IL
Other
Enumeration date
03/28/2018
Last updated
07/29/2022
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