Individual
OLAMIDE TAIWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2800 S CALIFORNIA AVE, CHICAGO, IL 60608-5107
(773) 674-7488
Mailing address
17936 OAKWOOD AVE, LANSING, IL 60438-2240
(708) 623-9732
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.005758
IL
Other
Enumeration date
02/05/2016
Last updated
04/30/2021
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