| Adewell Holistic Health & Medical Clinic Llc | |
|
1833 Hicks Rd Ste D Rolling Meadows IL 60008-1247 | |
| (847) 610-9400 | |
| (847) 572-2170 |
| Full Name | Adewell Holistic Health & Medical Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1833 Hicks Rd Ste D, Rolling Meadows, Illinois |
| Authorized Official Name and Position | Aderonke Oshibajo (FNP-C, PMHNP-BC) |
| Authorized Official Contact | 8476109400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adewell Holistic Health & Medical Clinic Llc 1833 Hicks Rd Ste D Rolling Meadows IL 60008-1247 Ph: (847) 610-9400 | Adewell Holistic Health & Medical Clinic Llc 1833 Hicks Rd Ste D Rolling Meadows IL 60008-1247 Ph: (847) 610-9400 |
| NPI Number | 1073388104 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 09/13/2024 |
| Certification Date | 09/13/2024 |
| Medicare PECOS PAC ID | 0840732152 |
|---|---|
| Medicare Enrollment ID | O20240603000066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073388104 | NPI | - | NPPES |
| Provider Name | Aderonke Oshibajo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205591138 PECOS PAC ID: 3173916483 Enrollment ID: I20220209002330 |
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