Individual
BABATUNDE SAMUEL OGUNFOWOKAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 UNIVERSITY PARK DR, EDWARDSVILLE, IL 62025-3649
(618) 650-3957
Mailing address
3140 IMPALA TRL, FRISCO, TX 75034-6219
(404) 587-7347
(404) 587-7347
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.606478
IL
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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