NPI 1558031476 · live from the CMS NPI Registry
Samuel Adeoye, LSW
Social Worker in Chicago, IL. National Provider Identifier 1558031476, active.
NPI record
| NPI | 1558031476 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 4009 N Broadway St, Chicago, IL 60613 |
| Practice phone | 773-388-1600 |
| Mailing address | 4025 N Sheridan Rd, Chicago, IL 60613 |
| Enumerated | September 14, 2021 |
| Last updated | September 14, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | 150.104124 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.