Provider Demographics
NPI:1881490738
Name:DARAMOLA, OLUWATIMILEHIN
Entity type:Individual
Prefix:
First Name:OLUWATIMILEHIN
Middle Name:
Last Name:DARAMOLA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1512 UNIVERSITY CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60064-3047
Mailing Address - Country:US
Mailing Address - Phone:240-722-7299
Mailing Address - Fax:
Practice Address - Street 1:1512 UNIVERSITY CIR
Practice Address - Street 2:
Practice Address - City:NORTH CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60064-3047
Practice Address - Country:US
Practice Address - Phone:240-722-7299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program