Individual
IFELUNWA MIRIAM OSANAKPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
MD
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3110
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.086896
IL
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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