MEDICARE: DR. OLUWALEKE KEHINDE AJAYI PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	051294396	IL

General Provider Information

NPI Number	:	1124460928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OLUWALEKE KEHINDE AJAYI PHARMD

Provider Business Mailing Address
First Line	:	627 E 38TH ST
Second Line	:	APT 202
City	:	CHICAGO
State	:	IL
Zip	:	60653-1895
Country	:	US
Telephone Number	:	708-539-4367
Fax Number	:

Provider Business Practice Location Address
First Line	:	627 E 38TH ST
Second Line	:	APT 202
City	:	CHICAGO
State	:	IL
Zip	:	60653-1895
Country	:	US
Telephone Number	:	708-539-4367
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2013
Last Update Date	:	07/22/2013

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