Provider Demographics
NPI:1780497362
Name:ASHIRU, TEMIDAYO ROTIMI
Entity type:Individual
Prefix:
First Name:TEMIDAYO
Middle Name:ROTIMI
Last Name:ASHIRU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4055 S ROUTE 59 STE 125
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-5803
Mailing Address - Country:US
Mailing Address - Phone:630-239-1500
Mailing Address - Fax:630-239-1505
Practice Address - Street 1:4055 S ROUTE 59 STE 125
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-5803
Practice Address - Country:US
Practice Address - Phone:630-239-1500
Practice Address - Fax:630-239-1505
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health