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Contact Information

OLUSOLA A AJILORE, MD
912 S WOOD ST
CHICAGO, IL60612-4300
 Phone: 312-996-7206
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for OLUSOLA A AJILORE · (Male)

NPI Number 1740213347
Status Active
Credentials MD
Entity Individual
Enumeration date 07/08/2006
Last updated 03/23/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A84869
  • IL License # 036123820
  • CA Medicaid 00A848690
Hospital affiliation(s)
  • UNIVERSITY OF ILLINOIS HOSPITAL - (Acute Care)
    1740 WEST TAYLOR ST SUITE 1400
    CHICAGO, IL 60612
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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