Akintilo, Olatunji R
Akintilo, Olatunji R is an individual health care provider with primary practice located at 1701 E Court St , Kankakee IL 60901-2670. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Akintilo, Olatunji R can be contacted via phone (815) 935-9394.Contact Information
Primary practice address
1701 E Court St
Kankakee IL 60901-2670
Phone: (815) 935-9394
Fax: (815) 935-1187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 37594 | Wisconsin |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 37594 | Wisconsin |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036094325 | Illinois |
Profile Details
| NPI number | 1760485007 |
|---|---|
| LBN Legal business name | Akintilo, Olatunji R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Oct 13th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760485007 | NPPES |
| Illinois | MEDICAID | 036094325 | |
| Illinois | Other | 4632039 | |
| Illinois | MEDICAID | 32231400 |
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