Rosanwo, Gabriel Boladele

Rosanwo, Gabriel Boladele is an sole proprietor health care provider with primary practice located at 10400 Haligus Rd , Huntley IL 60142-9553. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Rosanwo, Gabriel Boladele can be contacted via phone (815) 356-2323.

Contact Information

Primary practice address
10400 Haligus Rd Huntley IL 60142-9553
Phone: (815) 356-2323
Fax: (847) 802-7201
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036104578 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036104578 Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01080180A Indiana

Profile Details

NPI number 1598740466
LBN Legal business name Rosanwo, Gabriel Boladele
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2005
Last updated Apr 16th, 2024 - about 2 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 1598740466 NPPES
Ohio MEDICAID 0053655

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