Individual
OLAYINKA A. ADEDAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W RIVER DR, DAVENPORT, IA 52801-1014
(563) 336-3000
(563) 336-3044
Mailing address
1803 7TH ST, MOLINE, IL 61265-3728
(563) 327-2000
(563) 327-2045
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
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