Organization
AFIZ A. TAIWO, MD. MPH. S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AFIZ ADEWALE TAIWO M.D. (PRESIDENT)
(708) 334-9494
Entity
Organization
Contact information
Practice address
309 PINEHURST DR, PALOS HEIGHTS, IL 60463-2911
(708) 334-9494
Mailing address
PO BOX 449, PALOS HEIGHTS, IL 60463-0449
(708) 334-9494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042617704
IL
2083X0100X
Occupational Medicine Physician
042617704
IL
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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