Provider Demographics
NPI:1861202848
Name:ADEFILA, YEMI MERCY
Entity type:Individual
Prefix:
First Name:YEMI
Middle Name:MERCY
Last Name:ADEFILA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2340 W TOUHY AVE STE E
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-3449
Mailing Address - Country:US
Mailing Address - Phone:773-290-0745
Mailing Address - Fax:
Practice Address - Street 1:2340 W TOUHY AVE STE E
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-3449
Practice Address - Country:US
Practice Address - Phone:773-290-0745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3002725376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker