Akintilo, Olatunji R

Akintilo, Olatunji R is an individual health care provider with primary practice located at 1701 E Court St , Kankakee IL 60901-2670. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Akintilo, Olatunji R can be contacted via phone (815) 935-9394.

Contact Information

Primary practice address
1701 E Court St Kankakee IL 60901-2670
Phone: (815) 935-9394
Fax: (815) 935-1187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 37594 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37594 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036094325 Illinois

Profile Details

NPI number 1760485007
LBN Legal business name Akintilo, Olatunji R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Oct 13th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760485007 NPPES
Illinois MEDICAID 036094325
Illinois Other 4632039
Illinois MEDICAID 32231400

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