| Doctor Name: | VICTORIA O. AJIBOYE |
| NPI Number: | 1033555388 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 209009857 |
| Business Practice Address: | 2555 Lincoln Hwy Suite 205a Olympia Fields, IL - 604611936 |
| Business Phone Number: | 7084810095 |
| Business Fax Number: | 8662998890 |
| Mailing Address: | 1303 Echelon Cir, MATTESON |
| State: | IL |
| Postal Code: | 604433057 |
| Phone Number: | 3129459615 |
| Fax Number: | 8662998890 |
| NPI Enumeration Date: | 05/14/2013 |
| NPI Last Update Date: | 12/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 209009857 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |