Individual
AMINAT ABISOLA ISHADIMU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 E 162ND ST, SOUTH HOLLAND, IL 60473-2326
(708) 825-1986
Mailing address
3670 SCHOOL DR, COUNTRY CLUB HILLS, IL 60478-4949
(708) 203-0309
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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