Individual
EMMANUEL OLASEYI ABIDEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4623 N BROADWAY ST FL 2, CHICAGO, IL 60640-5011
(312) 498-0779
Mailing address
4623 N BROADWAY ST FL 2, CHICAGO, IL 60640-5011
(312) 498-0779
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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