Individual
DR. ANTHONY ADENIRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
877 PEMBROOK CT, CAROL STREAM, IL 60188-3077
(331) 551-2817
Mailing address
PO BOX 5082, OAK BROOK, IL 60522-5082
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
238.000099
IL
363A00000X
Physician Assistant
Primary
001333
PR
363A00000X
Physician Assistant
1333
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001333
GOBIERNO DE PUERTO RICO DEPARTAMENTO DE SALUD
PR
01
—
1333
GOBIERNO DE PUERTO RICO DEPARTAMENTO DE SALUD
PR
01
—
99-264
ABSA
CO
Enumeration date
09/09/2010
Last updated
11/01/2022
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