Individual
MR. ADENIYI C ADEMOYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3701 DOTY ROAD, WOODSTOCK, IL 60098
(630) 874-2542
(630) 874-2642
Mailing address
249 ARROWHEAD ST, PARK FOREST, IL 60466-1437
(630) 874-2542
(630) 874-2642
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209009720
IL
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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