Ajao, Oladele O.

Ajao, Oladele O. is an individual health care provider with primary practice located at 2100 Madison Ave , Granite City IL 62040-4701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ajao, Oladele O. can be contacted via phone (618) 452-3301.

Contact Information

Primary practice address
2100 Madison Ave Granite City IL 62040-4701
Phone: (618) 452-3301
Fax: (618) 452-3312
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036108133 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036108133 Illinois

Profile Details

NPI number 1700829025
LBN Legal business name Ajao, Oladele O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Mar 26th, 2021 - about 3 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 1700829025 NPPES
Illinois MEDICAID 036108133

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