Individual
AYOBAMI ADEAGBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2160 S 1ST AVE STE 1700, MAYWOOD, IL 60153-3328
(708) 216-6906
Mailing address
2160 S 1ST AVE STE 1700, MAYWOOD, IL 60153-3328
(708) 216-6906
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
125083731
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2023
Last updated
05/17/2024
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