Olumide Samson Fagbemi

NPI 1013163765 - Non-emergency Medical Transport (VAN) - 343900000X

NPI Details
NPI 1013163765
Gender Male
Enumeration Date 08/13/2008
Last Updated 08/13/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
387 MACKINAW AVE
CALUMET CITY IL, 60409-2513, US
Phone (708) 785-2238
Fax (708) 401-0098
Business Location
387 MACKINAW AVE
CALUMET CITY IL, 60409-2513, US
Phone (708) 785-2238
Fax (708) 401-0098
Toxanomy
Taxonomy Code 343900000X
License State Illinois
License Number 6478 MC
Remove 1013163765 NPI Number
 

According to our database, Mr. Olumide Samson Fagbemi NPI is 1013163765, taxonomy code is 343900000X and license number is 6478 MC, license state is located at Illinois. Olumide Samson Fagbemi physically located at 387 Mackinaw Ave, Calumet City IL, 60409-2513. NPI Number Olumide Samson Fagbemi has the Individual type.

Sponsored links

1013163765 NPI number is provided on an as is basis without warranty of any kind. 1013163765 is maintained by the National Plan & Provider Enumeration System. The contents of Olumide Samson Fagbemi are for informational purposes only.