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Organization

EMERGENCY MEDICAL SPECIALIST, S.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TUNJI LADIPO MD (PRESIDENT)
(630) 734-0200
Entity
Organization

Contact information

Practice address
45 W 111TH ST, CHICAGO, IL 60628-4200
(773) 995-3000
Mailing address
34816 EAGLE WAY, CHICAGO, IL 60678-1348
(630) 734-0200

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
05/09/2006
Last updated
08/22/2020
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