Individual
DR. KOLAWOLE OLUFEMI DOMINIK SOFOWORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
165 E PLANK RD, SYCAMORE, IL 60178
(815) 363-9400
(314) 454-4102
Mailing address
370 SUMMIT ST, ELGIN, IL 60120
(847) 608-1344
(314) 454-4102
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.142733
IL
208000000X
Pediatrics Physician
2014019161
MO
Other
Enumeration date
07/01/2014
Last updated
04/24/2017
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