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
Fax: (217) 545-1229
Website:

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.

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Identifiers

StateTypeNumberIssuer
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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