Individual
KOLAWOLE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7454 N OAKLEY AVE, CHICAGO, IL 60645-1910
(312) 730-3056
Mailing address
7454 N OAKLEY AVE, CHICAGO, IL 60645-1910
(312) 730-3056
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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