Individual
OLADAPO AKINKUNMI AFOLABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11987 BRUNSCHON LN, HUNTLEY, IL 60142-6036
(773) 954-6854
Mailing address
11987 BRUNSCHON LN, HUNTLEY, IL 60142-6036
(773) 954-6854
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MCS-10-0008-0139
CERTIFIED OPERATOR CERTIFICATE OF ACHIEVEMENT
—
Enumeration date
12/14/2021
Last updated
01/28/2022
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