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Individual

ADESOLA O BABALOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
2355 S WESTERN AVE, CHICAGO, IL 60608-3837
(773) 254-1400
(312) 829-6375
Mailing address
966 W 21ST ST, CHICAGO, IL 60608-4511

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209013941
IL

Other

Enumeration date
03/22/2016
Last updated
04/24/2023
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