Individual
OLAJUMOKE ADUBIFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 E JEFFERY ST, KANKAKEE, IL 60901-5018
(815) 939-8661
Mailing address
120 W 111TH ST, CHICAGO, IL 60628-4215
(815) 939-8661
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
036-098407
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4673170001
DMERC GROUP
IL
01
—
P00444366/CK6882
MEDICARE RAILROAD
IL
Enumeration date
11/29/2006
Last updated
02/24/2017
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