BABATUNDE ADEOSUN

COLUMBIA CITY, IN
NPI1164892469
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209.013330)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IL  209.013330)
Enumeration Date2015-09-29
Last Update Date2020-08-12
Business Address
Mr. BABATUNDE ADEOSUN FNP
1260 E STATE ROAD 205
COLUMBIA CITY, IN 46725-9492
Phone number: 602-489-0000
Mailing Address
Mr. BABATUNDE ADEOSUN FNP
4218 S KING DR APT 1N
CHICAGO, IL 60653-3298
Phone number: 773-886-6894