Organization Name: | ADMINISTER MEDICAL ASSOCIATES |
NPI Number: | 1033383526 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OLALEKAN SOWADE (PHYSICIAN) |
Mailing Address: | 17850 Kedzie Ave Suite 3000 Hazel Crest |
State: | IL US |
Postal Code: | 604292058 |
Phone Number: | 7087981200 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2008 |
NPI Last Update Date: | 04/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |