Bode-Omoleye, Olaoluwa O.

Bode-Omoleye, Olaoluwa O. is an individual health care provider with primary practice located at 840 S Wood St. Rm 130Csn, Mc 847, Chicago IL 60612-4325. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Bode-Omoleye, Olaoluwa O. can be contacted via phone (312) 996-7312.

Contact Information

Primary practice address
840 S Wood St. Rm 130Csn, Mc 847 Chicago IL 60612-4325
Phone: (312) 996-7312
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 036149602 Illinois
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X 036149602 Illinois
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 036149602 Illinois

Profile Details

NPI number 1073958906
LBN Legal business name Bode-Omoleye, Olaoluwa O.
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2013
Last updated Mar 15th, 2024 - about 6 months 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 1073958906 NPPES
Illinois Other 036.149602 ILLINOIS STATE DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

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