Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KOLAWOLE OLUFEMI DOMINIK SOFOWORA, M.D.
ActiveDR. KOLAWOLE OLUFEMI DOMINIK SOFOWORA, M.D. is a Pediatrics healthcare provider located in SYCAMORE, Illinois. NPI 1124434964 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · SYCAMORE, IL
Registration Details
- NPI Number
- 1124434964
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 1, 2014 (12.147288057722 yrs)
- Last Updated
- Apr 24, 2017
- Licenses
-
036.142733 (IL)2014019161 (MO)
Practice Information
- Address
-
165 E PLANK RDSYCAMORE, IL, 60178Browse IL providers · Browse ZIP 60178
- Phone
- 8153639400
- Fax
- 3144544102
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in SYCAMORE, IL
| Name | Credential | NPI |
|---|---|---|
| MARK ALAN REGNIER | M.D. | 1851398663 |
| SUZANNE COOK | M.D. | 1134138365 |
| DAVID PHILLIPS | M.D. | 1669484713 |
| DR. NATALIE SGARLATA | — | 1134495310 |
| DR. KRISTINA ELIZABETH STIBITZ | MD | 1588156392 |
| URMI SHETH | MD | 1679102867 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.