Individual
MR. JOSEPH OLATUNDE AYOOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3914 BALLANTRAE WAY, FLOSSMOOR, IL 60422-4378
(708) 217-8595
Mailing address
3914 BALLANTRAE WAY, FLOSSMOOR, IL 60422-4378
(708) 217-8595
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
041-263525
IL
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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