GABRIEL IKPONMOSA UWAIFO

SPRINGFIELD, IL
NPI1043267818
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: IL  036.166674)
Additional Taxonomies207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: MS  19937)
207R00000X Internal Medicine
(Licence: IL  036.166674)
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: LA  MD.203716)
Enumeration Date2006-05-27
Last Update Date2024-03-18
Business Address
GABRIEL IKPONMOSA UWAIFO MD
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702-4968
Phone number: 217-545-8000
Mailing Address
GABRIEL IKPONMOSA UWAIFO MD
PO BOX 19639
SPRINGFIELD, IL 62794-9639
Phone number: 217-545-8000