Uwaifo, Gabriel Ikponmosa
Uwaifo, Gabriel Ikponmosa is an individual health care provider with primary practice located at 751 N Rutledge St Ste 1700 , Springfield IL 62702-4968. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Uwaifo, Gabriel Ikponmosa can be contacted via phone (217) 545-8000.Contact Information
Primary practice address
751 N Rutledge St Ste 1700
Springfield IL 62702-4968
Phone: (217) 545-8000
Fax: (217) 545-1229
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 19937 | Mississippi |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036.166674 | Illinois |
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 036.166674 | Illinois |
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | MD.203716 | Louisiana |
Profile Details
NPI number | 1043267818 |
---|---|
LBN Legal business name | Uwaifo, Gabriel Ikponmosa |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 27th, 2006 |
Last updated | Mar 18th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043267818 | NPPES |
Illinois | MEDICAID | 036166674 | |
Illinois | MEDICAID | 401048500 | |
Illinois | MEDICAID | 58884349 | |
Illinois | MEDICAID | 034604200 | |
Illinois | MEDICAID | 106178 | |
Illinois | MEDICAID | 106178 | |
Illinois | MEDICAID | 05538368 | |
Illinois | MEDICAID | 1393959 |
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