SearchIllinois363LF0000X

Idowu Fapohunda

NPI 1164919874 · on the registry since 2018

Practice

Address
425 Warren St
Calumet City, IL 60409
Phone
(708) 439-2145
Fax
(708) 360-3238

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-04-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois