Adesanya, Timothy Omotayo

Adesanya, Timothy Omotayo is an individual health care provider with primary practice located at Graham Correctional Center 12078 Illinois Rte 185, Hilliboro IL 62049. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Adesanya, Timothy Omotayo can be contacted via phone (217) 532-6961.

Contact Information

Primary practice address
Graham Correctional Center 12078 Illinois Rte 185 Hilliboro IL 62049
Phone: (217) 532-6961
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085001089 Illinois

Profile Details

NPI number 1467001859
LBN Legal business name Adesanya, Timothy Omotayo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2019
Last updated Sep 9th, 2019 - about 6 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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