Individual
OLABISI MAKANJUOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
621 ROXBURY RD, ROCKFORD, IL 61107-5077
(815) 226-1172
(815) 226-1594
Mailing address
621 ROXBURY RD, ROCKFORD, IL 61107-5077
(815) 226-1172
(815) 226-1594
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036169879
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2020
Last updated
07/18/2024
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