Individual provider · NPI-1

Dr. Abimbola Adedamola Adesuyi, M.D.

Anesthesiology · Chicago, IL

NPI number1306043542
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1306043542
Entity type
Individual (NPI-1)
Name
Dr. Abimbola Adedamola Adesuyi
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 29, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X AnesthesiologyA320-0017-8141ILYes

Practice location

1740 W Taylor St
Chicago, IL 60612-7232

Phone 312-996-4020

Mailing address

3853 Brummel St
Skokie, IL 60076-3625

Phone 847-903-8650

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