Olayemi O Champion-odusola M.D.

NPI 1053567040 - Family Medicine - 207Q00000X

NPI Details
NPI 1053567040
Gender Female
Enumeration Date 08/11/2008
Last Updated 08/26/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
MUNSTER IN, 60631-3745, US
Phone (219) 836-5800
Fax (219) 836-8073
Business Location
757 45TH AVE
STE. 201
MUNSTER IN, 46321-2911, US
Phone (219) 934-2461
Fax (219) 836-8073
Taxonomy Code 207Q00000X
License State Illinois
License Number 125051108
Remove 1053567040 NPI Number

According to our database, Dr. Olayemi O Champion-odusola M.D. NPI is 1053567040, taxonomy code is 207Q00000X and license number is 125051108, license state is located at Illinois. Olayemi O Champion-odusola M.D. physically located at 7905 Calumet Avenue, Munster IN, 60631-3745. NPI Number Olayemi O Champion-odusola M.D. has the Individual type.

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1053567040 NPI number is provided on an as is basis without warranty of any kind. 1053567040 is maintained by the National Plan & Provider Enumeration System. The contents of Olayemi O Champion-odusola M.D. are for informational purposes only.