Individual
OGUNYANKIN OLUFUNSHO KOFOWOROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
675 N SAINT CLAIR ST, GALTER 19-100, CHICAGO, IL 60611-5975
(312) 695-4965
Mailing address
680 N LAKE SHORE DR, SUITE 1000, CHICAGO, IL 60611-4546
(312) 695-9797
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
IL
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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