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KENNETH LATOKUNBO SOYEMI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10337 CANTERBURY ST, WESTCHESTER, IL 60154-3503
(708) 473-1415
Mailing address
10337 CANTERBURY ST, WESTCHESTER, IL 60154-3503

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-093800
IL
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
036093800
IL
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
36949
IA
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
52154
CA
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
93783
FL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
036-093800
IL
208D00000X
General Practice Physician
036093800
IL
208D00000X
General Practice Physician
36949
IA

Other

Enumeration date
05/04/2007
Last updated
04/30/2021
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