# TAIWO DUROWADE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dardur Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518583210
- **Authorized official:** DR. TAIWO F DUROWADE MD (OB/GYN)
- **Authorized official phone:** (312) 487-1058

## Contact information

- **Practice address:** 19150 KEDZIE AVE STE 100, HOMEWOOD, IL 60430-4540
- **Practice address phone:** (312) 487-1058
- **Mailing address:** 1831 218TH PL, SAUK VILLAGE, IL 60411-4914
- **Mailing address phone:** (309) 750-2638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/18/2020
- **Last updated:** 10/28/2021