Organization
IROK OBSTETRICS & GYNECOLOGICAL SERVICES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NURUDEEN OLOWOPOPO MD (PRESIDENT)
(773) 375-0313
Entity
Organization
Contact information
Practice address
2301 E 93RD ST, SUITE 115, CHICAGO, IL 60617-3913
(773) 375-0313
(773) 375-3467
Mailing address
PO BOX 806126, CHICAGO, IL 60680-4122
(773) 375-0313
(773) 375-3467
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01628212
BCBS
IL
01
—
DG8304
RAILROAD MEDICARE
IL
Enumeration date
07/03/2007
Last updated
04/16/2008
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