Individual
BABADELE OYEDEPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 878-8700
Mailing address
910 W LAWRENCE AVE, APT 807, CHICAGO, IL 60640-4248
(312) 265-3078
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125055524
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125055524
LICENCE NUMBER
IL
Enumeration date
07/09/2009
Last updated
06/16/2011
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