Organization
ADVANCED WOMENS HEALTHCARE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAMIDELE A OGUNLEYE MD (PRESIDENT)
(309) 533-2634
Entity
Organization
Contact information
Practice address
2111 E OAKLAND AVE, SUITE B, BLOOMINGTON, IL 61701-5758
(309) 808-3068
(309) 808-3072
Mailing address
2111 E OAKLAND AVE, SUITE B, BLOOMINGTON, IL 61701-5758
(309) 531-3012
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/08/2012
Last updated
04/10/2013
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