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Individual

ISMAIL OLUSAYO OSHOGWEMOH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3140
(217) 383-4966
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036144737
IL
207V00000X
Obstetrics & Gynecology Physician
58.003593
OH
207X00000X
Orthopaedic Surgery Physician
006762
AZ

Other

Enumeration date
08/18/2010
Last updated
04/12/2021
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