Provider Demographics
NPI:1679231989
Name:ASCEND HEALTHCARE INC
Entity Type:Organization
Organization Name:ASCEND HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OLATOKUNBO
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOBANDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-926-7299
Mailing Address - Street 1:881 FINLEY DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-8160
Mailing Address - Country:US
Mailing Address - Phone:630-926-7299
Mailing Address - Fax:
Practice Address - Street 1:881 FINLEY DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-8160
Practice Address - Country:US
Practice Address - Phone:630-926-7299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-03
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care