Individual
OLUWAGBENGA AFIAMOYE OJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6969 N ASHLAND BLVD UNIT 101, CHICAGO, IL 60626-3354
(773) 807-5133
Mailing address
6969 N ASHLAND BLVD UNIT 101, CHICAGO, IL 60626-3354
(773) 807-5133
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
O20064172210
IL
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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