Organization
ABAYOMI ADEYEMI MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABAYOMI ADEYEMI MD (PRESIDENT)
(708) 261-8614
Entity
Organization
Contact information
Practice address
111 W 59TH ST, HINSDALE, IL 60521-4969
(708) 261-8614
Mailing address
111 W 59TH ST, HINSDALE, IL 60521-4969
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
036084629
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084629
—
IL
Enumeration date
10/07/2011
Last updated
10/07/2011
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