Individual
BASHIRU OLADELE BABAWALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3710 VILLAGE DR, HAZEL CREST, IL 60429-2441
(773) 719-0070
Mailing address
3710 VILLAGE DR, HAZEL CREST, IL 60429-2441
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209019037
IL
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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