Sofowora, Kolawole Olufemi Dominik

Sofowora, Kolawole Olufemi Dominik is an individual health care provider with primary practice located at 165 E Plank Rd , Sycamore IL 60178. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Sofowora, Kolawole Olufemi Dominik can be contacted via phone (815) 363-9400.

Contact Information

Primary practice address
165 E Plank Rd Sycamore IL 60178
Phone: (815) 363-9400
Fax: (314) 454-4102
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036.142733 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2014019161 Missouri

Profile Details

NPI number 1124434964
LBN Legal business name Sofowora, Kolawole Olufemi Dominik
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2014
Last updated Apr 24th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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