Individual
MR. ABOLADE JAMIU OLAWALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Contact information
Practice address
17800 KEDZIE AVE, HAZEL CREST, IL 60429-2029
(708) 213-3211
Mailing address
9640 KEDVALE AVE APT 202, OAK LAWN, IL 60453-3269
(773) 297-1191
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
238.000622
IL
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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