IndividualActive
Adebowale Adesida
NPI 1093407868 · Physician Assistant · Chicago, IL
Provider details
- NPI number
- 1093407868
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 085.009676 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1969 W Ogden Ave
Chicago, IL 60612-3765
Phone: (610) 547-3243
Approximate (ZIP-level) locationGet directions
Mailing address
915 N East Ave
Oak Park, IL 60302-1329
Registry dates
- Enumerated
- 2023-05-22
- Last updated
- 2023-05-22
- Certified
- 2023-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.