Provider Demographics
NPI:1588872055
Name:OKULEYE, BABATUNDE GBOLADE (MD, MBA)
Entity type:Individual
Prefix:DR
First Name:BABATUNDE
Middle Name:GBOLADE
Last Name:OKULEYE
Suffix:
Gender:M
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 S. MICHIGAN AVE
Mailing Address - Street 2:SUITE 710
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60604
Mailing Address - Country:US
Mailing Address - Phone:773-350-0020
Mailing Address - Fax:
Practice Address - Street 1:200 S MICHIGAN AVENUE
Practice Address - Street 2:SUITE 710
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60604-2403
Practice Address - Country:US
Practice Address - Phone:773-350-0020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-0981302084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry