Organization
EMERGENCY MEDICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUNJI LADIPO MD (DIRECTOR)
(773) 995-3000
Entity
Organization
Contact information
Practice address
2530 CRAWFORD AVE STE 307, EVANSTON, IL 60201-4972
(773) 995-3000
Mailing address
7411 S INGLESIDE AVE, CHICAGO, IL 60619-2033
(773) 574-7263
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
209012220
IL
Other
Enumeration date
06/05/2016
Last updated
06/05/2016
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