Individual
MR. BABATUNDE ADEOSUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1260 E STATE ROAD 205, COLUMBIA CITY, IN 46725-9492
(602) 489-0000
Mailing address
4218 S KING DR, APT 1N, CHICAGO, IL 60653-3298
(773) 886-6894
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209.013330
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.013330
IL
Other
Enumeration date
09/29/2015
Last updated
08/12/2020
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