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Individual

KHADIJAT ADEOLA ADENIYI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2301 W 22ND ST STE 107, OAK BROOK, IL 60523-4104
(630) 861-5200
Mailing address
2301 W 22ND ST STE 107, OAK BROOK, IL 60523-4104

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041384991
IL
363LF0000X
Family Nurse Practitioner
Primary
209014886
IL

Other

Enumeration date
11/19/2016
Last updated
09/12/2019
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