Adeoye, Samuel

Adeoye, Samuel is an sole proprietor health care provider with primary practice located at 4009 N Broadway St , Chicago IL 60613-2110. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Adeoye, Samuel can be contacted via phone (773) 388-1600.

Contact Information

Primary practice address
4009 N Broadway St Chicago IL 60613-2110
Phone: (773) 388-1600
Fax: (773) 388-8936
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 150.104124 Illinois

Profile Details

NPI number 1558031476
LBN Legal business name Adeoye, Samuel
Credentials LSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2021
Last updated Sep 14th, 2021 - about 4 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 1558031476 NPPES
Illinois MEDICAID 150.104124

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