Provider Demographics
NPI:1407419872
Name:ORIMOLOYE, OLUSOLA AYODEJI (MBBS, MPH)
Entity Type:Individual
Prefix:DR
First Name:OLUSOLA
Middle Name:AYODEJI
Last Name:ORIMOLOYE
Suffix:
Gender:M
Credentials:MBBS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:676 N SAINT CLAIR ST STE 7-353
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2927
Mailing Address - Country:US
Mailing Address - Phone:312-695-0070
Mailing Address - Fax:312-695-1903
Practice Address - Street 1:251 E HURON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3055
Practice Address - Country:US
Practice Address - Phone:312-695-0070
Practice Address - Fax:312-695-1903
Is Sole Proprietor?:No
Enumeration Date:2019-04-20
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program