MEDICARE: TEMIDAYO ROTIMI ASHIRU

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1780497362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEMIDAYO ROTIMI ASHIRU

Provider Business Mailing Address
First Line	:	4055 S ROUTE 59 STE 125
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60564-5803
Country	:	US
Telephone Number	:	630-239-1500
Fax Number	:	630-239-1505

Provider Business Practice Location Address
First Line	:	4055 S ROUTE 59 STE 125
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60564-5803
Country	:	US
Telephone Number	:	630-239-1500
Fax Number	:	630-239-1505

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

Provider Enumeration Date	:	01/28/2025
Last Update Date	:	01/28/2025

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