Individual
MR. JOHNSON O ADELEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
387 LUELLA AVE, CALUMET CITY, IL 60409-2207
(708) 868-8551
(708) 868-8551
Mailing address
387 LUELLA AVE, CALUMET CITY, IL 60409-2207
(708) 868-8551
(708) 868-8551
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
67809629
IL
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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