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Ayodeji Israel Ilelaboye

Internal Medicine

Allopathic & Osteopathic Physicians

515 S Western Ave Apt 4, Chicago, IL 60612-3657

PECOS Enrollment

This provider is enrolled in PECOS as AYODEJI ILELABOYE.

Based on the most recent information from CMS, provider Ayodeji Israel Ilelaboye is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1558199786
Provider Type
Individual
Full Name
Ilelaboye, Ayodeji Israel
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/22/2024
Last Updated
7/22/2024

Contact Information

Practice Location

515 S Western Ave Apt 4, Chicago, IL 60612-3657

(773) 491-0369

Unlisted Fax

Mailing Location

515 S Western Ave Apt 4, Chicago, IL 60612-3657

(773) 491-0369

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 125084982 Illinois

Ayodeji Israel Ilelaboye

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Olafimihan, Ayobami Gbenga

Kehoe, William R

Turbay, Rafael

Cornejo Gonzalez, Diego Mateo

Kaul, Malvika

Cuartas Mesa, Maria Cristina

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Shah, Syed

Din, Khawaja Moeen-Ud

Juarez, Crystal