TIMOTHY O ADESANYA, Medical HILLIBORO, IL

Contact Information

TIMOTHY O ADESANYA

GRAHAM CORRECTIONAL CENTER
12078 ILLINOIS RTE 185
HILLIBORO, IL 62049

Phone: 217-532-6961
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for TIMOTHY O ADESANYA · (Male)

NPI Number	`1467001859`
Status	Active
Credentials
Entity	Individual
Enumeration date	09/09/2019
Last updated	09/09/2019 - About 7 years ago
Sole proprietor ¹	No
Identifiers	IL License # 085001089
Hospital affiliation(s)	Not Available

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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TIMOTHY O ADESANYAMedical

Contact Information

Specialty

Medical

NPI Profile & details for TIMOTHY O ADESANYA · (Male)

Reviews for TIMOTHY O ADESANYA

TIMOTHY O ADESANYA
Medical