Individual
MR. BAYO BABATUNDE AGBOLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
4711 MIDLOTHIAN TPKE STE 14, CRESTWOOD, IL 60418-4903
(779) 910-8196
(708) 963-0105
Mailing address
4711 MIDLOTHIAN TPKE STE 14, CRESTWOOD, IL 60418-4903
(708) 743-2714
(708) 963-0105
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.025433
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277004414
IL
374U00000X
Home Health Aide
—
—
Other
Enumeration date
11/21/2017
Last updated
01/15/2026
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