Abiodun, Olubukola O

Abiodun, Olubukola O is an individual health care provider with primary practice located at 7530 S Stony Island Ave , Chicago IL 60649-3914. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Abiodun, Olubukola O can be contacted via phone (773) 288-7000.

Contact Information

Primary practice address
7530 S Stony Island Ave Chicago IL 60649-3914
Phone: (773) 288-7000
Fax: (773) 288-7009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051304763 Illinois

Profile Details

NPI number 1386372688
LBN Legal business name Abiodun, Olubukola O
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2022
Last updated Aug 13th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386372688 NPPES
Illinois MEDICAID 236

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