Individual
ADEBOLA OLUWATOSIN OREKOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2300 N EDWARD ST STE 2400, DECATUR, IL 62526-4163
(217) 876-2400
(217) 876-2405
Mailing address
2300 N EDWARD ST STE 2400, DECATUR, IL 62526-4163
(217) 876-2400
(217) 876-2405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036167427
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036167427
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
336126127
CS LICENSE
IL
Enumeration date
05/04/2017
Last updated
09/25/2024
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