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NPI Code Detail

MEDICARE: MRS. MODINAT 0 AYODELE

MEDICARE:  MRS. MODINAT 0 AYODELE
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
1376J00000XHomemaker3002046IL
2374U00000XHome Health Aide4000707IL

General Provider Information

NPI Number : 1952971368
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MODINAT 0 AYODELE
Provider Business Mailing Address
First Line : 115 S WILKE RD STE 203
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-1519
Country : US
Telephone Number : 224-341-5658
Fax Number :
Provider Business Practice Location Address
First Line : 115 S WILKE RD STE 203
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-1519
Country : US
Telephone Number : 224-341-5658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2021
Last Update Date : 02/10/2025

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Directions to “ MRS. MODINAT 0 AYODELE ” Practice Location

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