SearchIllinois363AM0700X

Timothy Adesanya

NPI 1467001859 · on the registry since 2019

Practice

Address
Graham Correctional Center
12078 Illinois Rte 185
Hilliboro, IL 62049
Phone
(217) 532-6961

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-09-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois