Oladapo Akinkunmi Afolabi

Individual provider Active NPI Driver · Huntley, IL

NPI 1336808666 · NPPES record last updated Jan 28, 2022

Key facts

NPI
1336808666
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
Practice address
11987 Brunschon LN
Huntley, IL 60142-6036
Phone
(773) 954-6854
NPI assigned
Dec 14, 2021
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Dippflott Current
since Feb 1, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X IL Yes

Addresses

Primary practice location

11987 Brunschon LN
Huntley, IL 60142-6036

Mailing address

11987 Brunschon LN
Huntley, IL 60142-6036
Phone (773) 954-6854

Other identifiers

IdentifierTypeStateIssuer
MCS-10-0008-0139OtherCERTIFIED OPERATOR CERTIFICATE OF ACHIEVEMENT

Electronic endpoints

TypeEndpointUseAffiliation
Other URL Email Other

Other providers in Huntley, IL

All providers in Huntley, IL · Driver in Illinois

Sources for this page

Verify at the official NPI Registry.