Individual
MS. VICTORIA OLUWAKEMI FAMUYIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3190
(217) 383-7117
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036147265
IL
Other
Enumeration date
05/01/2009
Last updated
12/01/2023
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