MEDICARE: OBASEKI & ASSOCIATES INC.

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	172A00000X	Driver

General Provider Information

NPI Number	:	1366141459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OBASEKI & ASSOCIATES INC.

Provider Business Mailing Address
First Line	:	4552 N BROADWAY ST UNIT 214
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-5602
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4552 N BROADWAY ST UNIT 214
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-5602
Country	:	US
Telephone Number	:	773-791-3116
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	NOSADEBA OBASEKI
Credential	:
Telephone Number	:	773-791-3116

Provider Enumeration Date	:	02/27/2023
Last Update Date	:	02/27/2023

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