ADEBOWALE TOLULADE ADESIDA

CHICAGO, IL
NPI1093407868
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085.009676)
Enumeration Date2023-05-22
Last Update Date2023-05-22
Business Address
ADEBOWALE TOLULADE ADESIDA
1969 W OGDEN AVE
CHICAGO, IL 60612-3765
Phone number: 610-547-3243
Mailing Address
ADEBOWALE TOLULADE ADESIDA
915 N EAST AVE
OAK PARK, IL 60302-1329
Phone number: 610-547-3243