Individual
OLADIPUPO ODUNEWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
259 E ERIE ST, CHICAGO, IL 60611-2987
(312) 926-6000
Mailing address
251 E HURON ST, CHICAGO, IL 60611-2908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006258
IL
Other
Enumeration date
06/27/2017
Last updated
03/17/2018
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