Provider Demographics
NPI:1003934993
Name:YUSUF, ADEBAYO (DC)
Entity Type:Individual
Prefix:DR
First Name:ADEBAYO
Middle Name:
Last Name:YUSUF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5542 W FOND DU LAC AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-1200
Mailing Address - Country:US
Mailing Address - Phone:414-461-2222
Mailing Address - Fax:414-461-8289
Practice Address - Street 1:5542 W FOND DU LAC AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-1200
Practice Address - Country:US
Practice Address - Phone:414-461-2222
Practice Address - Fax:414-461-8289
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2301111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor