Provider Demographics
NPI:1508195470
Name:AKINBIYI, HASSAN ABIOLA (MD)
Entity Type:Individual
Prefix:DR
First Name:HASSAN
Middle Name:ABIOLA
Last Name:AKINBIYI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:401 N MICHIGAN AVENUE
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-4264
Mailing Address - Country:US
Mailing Address - Phone:312-635-0973
Mailing Address - Fax:813-290-9691
Practice Address - Street 1:1515 W CHANDLER BLVD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-6141
Practice Address - Country:US
Practice Address - Phone:480-434-4356
Practice Address - Fax:877-242-9708
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ48329208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ48329OtherLICENSE
AZP01263867OtherRAILROAD MEDICARE
AZ883861Medicaid
AZP01263867OtherRAILROAD MEDICARE