Individual
FEBIJESUSOLA DEBORAH OYELANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
818 E BROADWAY ST, SPARTA, IL 62286-1820
(618) 443-2177
Mailing address
818 E BROADWAY ST, SPARTA, IL 62286-1820
(618) 443-2177
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036168024
IL
207Q00000X
Family Medicine Physician
Primary
TEP9171
NE
Other
Enumeration date
07/04/2021
Last updated
03/29/2024
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