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Individual

OLAYINKA A. ADEDAYO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36118910
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0568998
IA
01
14-1942
MEDICARE FQHC # UGS
01
1710971486
MOLINE CLINIC NPI
01
254585
MIDLANDS CHOICE INDIVIDUA
IL
01
421060724
TRINITY PHO
01
421060724001
TRICARE INDIVIDUALS
IL
05
421060724003
IL
01
8122859
BC/BS OF IL
IL
01
99809
BC/BS OF IA INDIVIDUAL
IA
Enumeration date
07/23/2007
Last updated
06/25/2008
Update your record

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