Adeniran, Anthony
Adeniran, Anthony is an sole proprietor health care provider with primary practice located at 877 Pembrook Ct , Carol Stream IL 60188-3077. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Adeniran, Anthony can be contacted via phone (331) 551-2817.Contact Information
Primary practice address
877 Pembrook Ct
Carol Stream IL 60188-3077
Phone: (331) 551-2817
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Assistant | 246ZC0007X | 238.000099 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1333 | Puerto Rico |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 001333 | Puerto Rico |
Profile Details
| NPI number | 1275840357 |
|---|---|
| LBN Legal business name | Adeniran, Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 9th, 2010 |
| Last updated | Nov 1st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275840357 | NPPES |
| Puerto Rico | Other | 001333 | GOBIERNO DE PUERTO RICO DEPARTAMENTO DE SALUD |
| Puerto Rico | Other | 1333 | GOBIERNO DE PUERTO RICO DEPARTAMENTO DE SALUD |
| Puerto Rico | Other | 99-264 | GOBIERNO DE PUERTO RICO DEPARTAMENTO DE SALUD |
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