Individual
WASIU DUROJAIYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1276 N. CLYBOURN, CHICAGO, IL 60610
(312) 337-1073
(312) 337-7616
Mailing address
1276 N. CLYBOURN, CHICAGO, IL 60610
(312) 337-1073
(312) 337-7616
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085001754
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085001754
LICENSE
IL
Enumeration date
05/08/2007
Last updated
07/08/2007
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