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Individual

BOLA ADOJUTELEGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5639 N CENTRAL AVE APT 2, CHICAGO, IL 60646-6454
(312) 647-9857
Mailing address
5639 N CENTRAL AVE APT 2, CHICAGO, IL 60646-6454
(312) 647-9857

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043129212
IL

Other

Enumeration date
03/31/2023
Last updated
12/16/2024
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