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Individual

DR. MARY A DEAN ONAYEMI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1701 W MONTEREY AVE, SUITE 11, CHICAGO, IL 60643-4257
(773) 238-2282
(773) 238-5746
Mailing address
1701 W MONTEREY AVE, SUITE 11, CHICAGO, IL 60643-4257
(773) 238-2282
(773) 238-5746

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036065557
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036065557
STATE LICENSE
IL
Enumeration date
07/12/2006
Last updated
08/09/2022
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