Adebayo Bademosi, m.d.
Family Medicine in Munster, IN. Individual provider (NPI-1).
NPI number1346357076
StatusActive
Last updated in NPPESMar 13, 2021
Details
- NPI
- 1346357076
- Entity type
- Individual (NPI-1)
- Name
- Adebayo Bademosi
- Credential
- m.d.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2006
- Certification date
- Mar 13, 2021
- Last updated
- Mar 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 01066470A | IN | Yes |
| 207P00000X | Emergency Medicine | 036-101658 | IL | |
| 207Q00000X | Family Medicine | 036101658 | IL |
Practice location
7905 Calumet AveMunster, IN 46321-2549
Phone 219-836-5800 · Fax 219-836-5030
Mailing address
1040 Sierra Dr Ste 400Greenwood, IN 46143-7241
Phone 317-528-4800
Other practice locations
7207 S Stony Island Ave
Chicago, IL 60649-2806
Chicago, IL 60649-2806
Phone 773-940-1612
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