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NPI Code Detail

MEDICARE: OYINLADE SOWUNMI

MEDICARE: OYINLADE SOWUNMI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1043023427
Entity Type Code : Individual
Provider Name (Legal Business Name) : OYINLADE SOWUNMI
Provider Business Mailing Address
First Line : 2015 EVERGREEN TERRACE DR E APT 2
Second Line :
City : CARBONDALE
State : IL
Zip : 62901-3916
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 S WALL ST
Second Line :
City : CARBONDALE
State : IL
Zip : 62901-3240
Country : US
Telephone Number : 618-252-9036
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2025
Last Update Date : 01/29/2025

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Directions to “ OYINLADE SOWUNMI ” Practice Location

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