Organization
NAH EMERGENCY SERVICES SC
Active
Other names
Humboldt Park Emergency Services SC
Organization subpart
No
Provider details
NPI number
Authorized official
TUNJI LADIPO MD (PRESIDENT)
(773) 292-5941
Entity
Organization
Contact information
Practice address
1044 N FRANCISCO AVE, CHICAGO, IL 60622-2743
(773) 292-8200
Mailing address
1012 LAKE SHORE BLVD, EVANSTON, IL 60202-1433
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
IL
Other
Enumeration date
06/06/2007
Last updated
07/01/2009
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