Whalio Doctors

NPI 1053626705

Ismail Olusayo Oshogwemoh, DO

Practitioner Obstetrics & Gynecology Physician Urbana, IL

Practice location

Address
611 W Park St, Urbana, IL 61801-2529
Phone
(217) 383-3140
Fax
(217) 383-4966
Mailing address
611 W Park St Fapc, Urbana, IL 61801

Registered specialties (3)

Obstetrics & Gynecology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 036144737 (IL)
Obstetrics & Gynecology Physician
Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 58.003593 (OH)
Orthopaedic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 006762 (AZ)

Registry record

NPI
1053626705
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Aug 2010
Record last updated
12 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.