Provider Demographics
NPI:1861211682
Name:AJAYI, SOLOMON
Entity type:Individual
Prefix:DR
First Name:SOLOMON
Middle Name:
Last Name:AJAYI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 E JUNIPER LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-1421
Mailing Address - Country:US
Mailing Address - Phone:773-507-5127
Mailing Address - Fax:847-503-9089
Practice Address - Street 1:1105 E JUNIPER LN
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-1421
Practice Address - Country:US
Practice Address - Phone:773-507-5127
Practice Address - Fax:847-503-9089
Is Sole Proprietor?:No
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No374U00000XNursing Service Related ProvidersHome Health Aide