Individual
DR. ADEGBOYEGA BAMIDELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1405 NORTH AVE, WAUKEGAN, IL 60085-1968
(773) 931-9206
Mailing address
1206 BROOKSIDE AVE APT 10, WAUKEGAN, IL 60085-3776
(773) 931-9206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
027263
IL
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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