Individual
LOLA OLADINI UMEBUANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD/MBA
Contact information
Practice address
1300 FRANKLIN AVE, NORMAL, IL 61761-3592
(309) 467-2371
(309) 467-2963
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2501
(217) 838-3311
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036169827
IL
2085U0001X
Diagnostic Ultrasound Physician
036169827
IL
Other
Enumeration date
03/22/2018
Last updated
04/10/2026
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