Individual
AZEEZAT OMOTOYOSI ADEDUNTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2003 W FULTON ST STE 303, CHICAGO, IL 60612-2345
(312) 243-2223
Mailing address
2003 W FULTON ST STE 303, CHICAGO, IL 60612-2345
(312) 243-2223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.020337
IL
Other
Enumeration date
11/26/2019
Last updated
12/20/2019
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