Individual
ADETOKUNBOH O ADEWUNMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2059 W 82ND ST, CHICAGO, IL 60620-5343
(708) 355-1602
(773) 409-1902
Mailing address
2059 W 82ND ST, CHICAGO, IL 60620-5343
(708) 355-1602
(773) 409-1902
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
NOT APPLICABLE
—
Enumeration date
09/18/2020
Last updated
09/18/2020
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