Individual
BABAJIDE LAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16509 PRAIRIE AVE, SOUTH HOLLAND, IL 60473-2132
(708) 548-8613
Mailing address
16509 PRAIRIE AVE, SOUTH HOLLAND, IL 60473-2132
(708) 548-8613
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
4000571
IL
376J00000X
Homemaker
3001619
IL
Other
Enumeration date
03/03/2018
Last updated
03/03/2018
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