Individual
IFENLOTA O OJIAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1441 BRANDING AVE STE 310, DOWNERS GROVE, IL 60515-5624
(630) 829-1084
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1650
WI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036-106003
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100190301
—
WI
Enumeration date
07/30/2006
Last updated
01/26/2025
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