Healthcare Provider Details

I. General information

NPI: 1023365152
Provider Name (Legal Business Name): EFE MARCUS AKPOIGBE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2012
Last Update Date: 09/27/2023
Certification Date: 09/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 N EDWARD ST STE 3200
DECATUR IL
62526-4163
US

IV. Provider business mailing address

1506 S ONEIDA ST
APPLETON WI
54915-1305
US

V. Phone/Fax

Practice location:
  • Phone: 217-876-3660
  • Fax: 217-876-3665
Mailing address:
  • Phone: 920-738-2000
  • Fax: 217-876-3665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number65070
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: