Ayobami Adeagbo
Orthopaedic Surgery in Maywood, IL. Individual provider (NPI-1).
NPI number1508542010
StatusActive
Last updated in NPPESMay 17, 2024
Details
- NPI
- 1508542010
- Entity type
- Individual (NPI-1)
- Name
- Ayobami Adeagbo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2023
- Certification date
- May 17, 2024
- Last updated
- May 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 125083731 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2160 S 1st Ave Ste 1700Maywood, IL 60153-3328
Phone 708-216-6906
Mailing address
2160 S 1st Ave Ste 1700Maywood, IL 60153-3328
Phone 708-216-6906
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