Organization
ABAYOMI ADEYEMI, M.D,S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOMI ADEYEMI M.D (MEDICAL DIRECTOR)
(708) 261-8614
Entity
Organization
Contact information
Practice address
54910 APOLLO CT, LA QUINTA, CA 92253-8051
(760) 222-2820
Mailing address
54910 APOLLO CT, LA QUINTA, CA 92253-8051
(760) 222-2820
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
036084629
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084629
—
IL
Enumeration date
05/15/2008
Last updated
08/24/2023
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