| Doctor Name: | MR. JOSEPH OLATUNDE AYOOLA |
| NPI Number: | 1154584951 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | 041-263525 |
| Business Practice Address: | 3914 Ballantrae Way Flossmoor, IL - 604224378 |
| Business Phone Number: | 7082178595 |
| Business Fax Number: | |
| Mailing Address: | 3914 Ballantrae Way, FLOSSMOOR |
| State: | IL |
| Postal Code: | 604224378 |
| Phone Number: | 7082178595 |
| Fax Number: | |
| NPI Enumeration Date: | 07/02/2008 |
| NPI Last Update Date: | 07/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 041-263525 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |