Organization
PEDIATRIC AND ADOLESCENT HEALTHY LIFESTYLE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOROUNKEJI AKIN-OLUGBEMI MD, MPH (MEDICAL DIRECTOR)
(847) 207-1121
Entity
Organization
Contact information
Practice address
2525 OGDEN AVE, DOWNERS GROVE, IL 60515-1708
(847) 207-1121
(630) 310-8614
Mailing address
2525 OGDEN AVE, DOWNERS GROVE, IL 60515-1708
(847) 207-1121
(630) 310-8614
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-096730
IL
Other
Enumeration date
01/20/2013
Last updated
01/28/2013
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