Individual
MOJOLAOLUWA MABAYOJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(347) 841-4303
Mailing address
741 S CLAREMONT AVE, CHICAGO, IL 60612-4842
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
90200000X
—
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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