Individual
TAIWO FADEKEMI DUROWADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 SURREY BROOK PLZ, UNIT 1526, SAUK VILLAGE, IL 60411-7300
(309) 750-2638
Mailing address
1040 SIERRA DR STE 400, GREENWOOD, IN 46143-7241
(317) 528-4800
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036142103
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036142103
—
IL
Enumeration date
04/01/2013
Last updated
03/17/2021
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