ABAYOMI ADEYEMI MD SC NPI 1609150713

NPI Information

NPI: 1609150713
Provider Name: ABAYOMI ADEYEMI MD SC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
111 W 59TH ST
HINSDALE, IL
ZIP 60521
Phone: (708) 261-8614
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ABAYOMI ADEYEMI MD SC is a health service clinic center in Hinsdale, IL. ABAYOMI ADEYEMI MD SC NPI is 1609150713. The provider is registered as an organization entity type.

The provider's business location address is:

111 W 59TH ST
HINSDALE, IL
ZIP 60521-969
Phone: (708) 261-8614

The provider's authorized official is Abayomi Adeyemi .
The authorized official title is President and has the following contact phone number (708) 261-8614.

The enumeration date for this NPI number is 10/7/2011 and was last updated on 10/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	036084629	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	F72220	MEDICARE UPIN
2	036084629	MEDICAID	ILLINOIS
3	335930	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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