Funmilayo Tade
Nuclear Medicine Specialist
2160 S 1st Ave
Maywood
, Illinois 60153
Funmilayo Tade
Nuclear Medicine Specialist
2160 S 1st Ave
Maywood
, Illinois 60153
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Funmilayo Tade
- 2160 S 1st Ave
- Maywood, IL
- Zip : 60153-3328
- Phone :
Second Address
- Funmilayo Tade
- 2160 S 1st Ave
- Maywood, IL
- Zip : 60153
- Phone : (708) 216-3779
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine Specialist | 125072343 | IL |
National Provider Identifier
| NPI | 1275066722 |
|---|---|
| Provider Name | Funmilayo Tade |
| First Address | Maywood, IL 60153-3328 |
| Second Address | Maywood, IL 60153 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2017 |
| Last Update Date | 05/11/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.