Ashaye, Adekola Abioudun
Ashaye, Adekola Abioudun is an individual health care provider with primary practice located at 1200 W State St , Rockford IL 61102-2112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ashaye, Adekola Abioudun can be contacted via phone (815) 490-1600.Contact Information
Primary practice address
1200 W State St
Rockford IL 61102-2112
Phone: (815) 490-1600
Fax: (815) 490-1881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036096690 | Illinois |
Profile Details
| NPI number | 1003899162 |
|---|---|
| LBN Legal business name | Ashaye, Adekola Abioudun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Feb 21st, 2013 - about 11 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 | 1003899162 | NPPES |
| Illinois | MEDICAID | 036096690 |
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