Individual
GABRIEL BOLADELE ROSANWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10400 HALIGUS RD, HUNTLEY, IL 60142-9553
(815) 356-2323
(847) 802-7201
Mailing address
10400 HALIGUS RD, HUNTLEY, IL 60142-9553
(815) 356-2323
(847) 802-7201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036104578
IL
207V00000X
Obstetrics & Gynecology Physician
01080180A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
036104578
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053655
—
OH
Enumeration date
12/13/2005
Last updated
12/18/2025
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