Individual
DR. ABIMBOLA ADEDAMOLA ADESUYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-4020
Mailing address
3853 BRUMMEL ST, SKOKIE, IL 60076-3625
(847) 903-8650
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A320-0017-8141
IL
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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