Individual
ADEBOWALE TOLULADE ADESIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(610) 547-3243
Mailing address
915 N EAST AVE, OAK PARK, IL 60302-1329
(610) 547-3243
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.009676
IL
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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