Olusegun Adekunle Ishmael in Chicago - Family Medicine

Olusegun Adekunle Ishmael - NPI 1720142128

Olusegun Adekunle Ishmael is a Family Medicine in Chicago, Illinois. Olusegun Adekunle Ishmael practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Olusegun Adekunle Ishmael is 1720142128. The last update date is 2020-10-13.

Olusegun Adekunle Ishmael's current location address is 30 W Erie St, Chicago, Illinois. You can contact this provider via phone number 3128410083 and fax number 3124750064. The mailing address for Olusegun Adekunle Ishmael is 30 W Erie St, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Olusegun Adekunle Ishmael
Address 30 W Erie St, Chicago, Illinois
Phone Number 3128410083
Fax Number 3124750064
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1720142128
Provider Enumeration Date 2006-12-20
Last Updated Date 2020-10-13

Provider Mailing Address Detail

Address 30 W Erie St
City Chicago
State Illinois (IL)
Post Code 606542827
Phone Number 3128410083
Fax Number 3124750064

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 01047096A
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10407096 IN STATE LICENSE

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FAQs about Olusegun Adekunle Ishmael

What is the unique 10-digit identification code issued to Olusegun Adekunle Ishmael by the Centers for Medicare & Medicaid Services?

The Olusegun Adekunle Ishmael has been assigned the NPI (National Provider Identifier) 1720142128 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Olusegun Adekunle Ishmael's facilities are situated?

The facilities of Olusegun Adekunle Ishmael are physically located at the following address: 30 W Erie St, Chicago, IL, 606542827.

What is Olusegun Adekunle Ishmael's specialized field of practice, and what is the corresponding taxonomy classification code?

The Olusegun Adekunle Ishmael's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.

When did the Olusegun Adekunle Ishmael receive its 1720142128?

The Olusegun Adekunle Ishmael was issued its 1720142128 on 2006-12-20, which is the date when the organization was assigned this unique identifier.

When was the information regarding Olusegun Adekunle Ishmael most recently updated?

The details pertaining to the Olusegun Adekunle Ishmael, including its address, specialty, and other relevant information, were last refreshed on 2020-10-13.

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