Individual
GABRIEL IKPONMOSA UWAIFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 N RUTLEDGE ST STE 1700, SPRINGFIELD, IL 62702-4968
(217) 545-8000
(217) 545-1229
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
(217) 545-2101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.166674
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036.166674
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
19937
MS
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
MD.203716
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034604200
—
DC
05
—
036166674
—
IL
05
—
05538368
—
MS
05
—
106178
—
AL
05
—
106178
—
MS
05
—
1393959
—
LA
05
—
401048500
—
MD
05
—
58884349
—
VA
Enumeration date
05/27/2006
Last updated
03/18/2024
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