Search › Illinois › 363L00000X
Fadesire Ajuwon, APN
NPI 1598202897 · on the registry since 2017 · sole proprietor
Practice
- Address
- 4218 S King Dr
1n
Chicago, IL 60653 - Phone
- (708) 705-5841
- Fax
- (773) 751-2250
Additional practice sites
- 4218 S King Dr, Chicago, IL
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 163W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-06-20
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