| NPI | 1851455588 |
|---|---|
| Doing Business As | MODUPE A OLADEINDE MD |
| Entity Type | Organization |
| Authorized Contact | LEONARD DEDIC Vice President 708-583-6818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036 112349) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-10-26 |