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NPI Code Detail

MEDICARE: FARIHANATH BABATOUNDE

MEDICARE:   FARIHANATH  BABATOUNDE
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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1306662861
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARIHANATH BABATOUNDE
Provider Business Mailing Address
First Line : 5718 N WINTHROP AVE APT 504
Second Line :
City : CHICAGO
State : IL
Zip : 60660-4368
Country : US
Telephone Number : 773-302-7750
Fax Number :
Provider Business Practice Location Address
First Line : 5718 N WINTHROP AVE APT 504
Second Line :
City : CHICAGO
State : IL
Zip : 60660-4368
Country : US
Telephone Number : 773-302-7750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2024
Last Update Date : 12/02/2024

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Directions to “ FARIHANATH BABATOUNDE ” Practice Location

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