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Contact Information

FADESIRE O AJUWON, APN
4218 S KING DR
1N
CHICAGO, IL60653
 Phone: 708-705-5841
 Fax: 773-751-2250
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for FADESIRE O AJUWON · (Female)

NPI Number 1598202897
Status Active
Credentials APN
Entity Individual
Enumeration date 01/24/2017
Last updated 06/20/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 209-014405
  • IL License # 209014405
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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