Basic Information
| Provider Information | |||||||||
| NPI: | 1598407520 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AWOYEMI | ||||||||
| FirstName: | TOLUWALASE | ||||||||
| MiddleName: | AYOBAMI | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MB; BS DPHIL | ||||||||
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| Mailing Information | |||||||||
| Address1: | DR O.B. AWOYEMI'S RESIDENCE, OFF BALOGUN STREET OFF | ||||||||
| Address2: | |||||||||
| City: | OSOGBO | ||||||||
| State: | OSUN STATE, NIGERIA | ||||||||
| PostalCode: | 230232 | ||||||||
| CountryCode: | NG | ||||||||
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| Practice Location | |||||||||
| Address1: | NORTHWESTERN MEMORIAL HOSPITAL 251 EAST HURON STREET | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60611 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3129262000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/11/2022 | ||||||||
| LastUpdateDate: | 10/19/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/19/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.