Individual
ADEYEMI ADEDAMOLA TAIWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-6000
Mailing address
1472 W ERIE ST APT 3F, CHICAGO, IL 60642-6176
(929) 300-2264
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2023-00597
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/08/2017
Last updated
05/22/2023
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