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:
Health care specialties
Specialty | Code | License # | 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 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073958906 | NPPES |
Illinois | Other | 036.149602 | ILLINOIS STATE DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION |
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