Individual
ADEYOSOYE DAWODU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 FRANKLIN AVE, SUITE 250, NORMAL, IL 61761-3592
(309) 268-3589
(309) 268-2536
Mailing address
1300 FRANKLIN AVE, SUITE 250, NORMAL, IL 61761-3592
(309) 268-3589
(309) 268-2536
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
036-113848
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000549806
ANTHEM
IN
05
—
200890360
—
IN
05
—
36113848
—
IL
01
—
P00478520
RAILROAD MEDICARE
IN
Enumeration date
07/08/2006
Last updated
06/23/2008
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