Individual
ADESOLA IBITAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4321 FIR ST FL 4, EAST CHICAGO, IN 46312-3049
(219) 392-7799
Mailing address
4955 187TH ST, COUNTRY CLUB HILLS, IL 60478-4442
(872) 223-3216
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28288503A
IL
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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