Tade Adewale, Funmilayo
Tade Adewale, Funmilayo is an individual health care provider with primary practice located at 1620 W Harrison St , Chicago IL 60612-3801. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Tade Adewale, Funmilayo can be contacted via phone (678) 717-9084.Contact Information
Primary practice address
1620 W Harrison St
Chicago IL 60612-3801
Phone: (678) 717-9084
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | 036156228 | Illinois |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036156228 | Illinois |
Profile Details
NPI number | 1275066722 |
---|---|
LBN Legal business name | Tade Adewale, Funmilayo |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 11th, 2017 |
Last updated | Apr 9th, 2024 - about last year |
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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