Individual
FAVOUR O ADEBAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-5000
Mailing address
2951 S KING DR APT 209, CHICAGO, IL 60616-3352
(614) 684-8148
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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