# COUNTY OF INGHAM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Willow Community ICHD, WILLOW ICHD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427426402
- **Authorized official:** ADENIKE TOLULUPE SHOYINKA MD (CREDENTIALING & ENROLLMENT COORDINA)
- **Authorized official phone:** (517) 887-4466

## Contact information

- **Practice address:** 1115 S PENNSYLVANIA AVE, LANSING, MI 48912-1669
- **Practice address phone:** (517) 702-3500
- **Practice address fax:** (517) 484-5169
- **Mailing address:** PO BOX 30161, LANSING, MI 48909-7661
- **Mailing address phone:** (517) 887-4383
- **Mailing address fax:** (517) 244-7174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2015
- **Last updated:** 10/15/2025