ADRIAN EKOMOBASI BIFOM

SPRINGFIELD, IL
NPI1740912914
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  125079997)
Enumeration Date2022-06-27
Last Update Date2022-06-27
Business Address
ADRIAN EKOMOBASI BIFOM MD
520 N 4TH ST
SPRINGFIELD, IL 62702-5238
Phone number: 217-545-8000
Mailing Address
ADRIAN EKOMOBASI BIFOM MD
PO BOX 19670
SPRINGFIELD, IL 62794-9670
Phone number: 217-545-8000
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