Individual
OMOBOLAWA YESIDE KUKOYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 W HARLEM AVE, MONMOUTH, IL 61462-1007
(309) 734-3141
(309) 734-3029
Mailing address
1000 W HARLEM AVE, MONMOUTH, IL 61462-1007
(309) 734-3141
(309) 734-3029
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036146048
IL
207P00000X
Emergency Medicine Physician
125066660
IL
Other
Enumeration date
06/19/2015
Last updated
05/31/2024
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