Organization
EXTENDED CARE SPECIALIST, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUNJI LADIPO MD (PRESIDENT)
(773) 550-5550
Entity
Organization
Contact information
Practice address
3435 W VAN BUREN ST, CHICAGO, IL 60624-3312
(773) 265-3583
Mailing address
34278 EAGLE WAY, CHICAGO, IL 60678-1342
(630) 734-0200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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