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Michelle Famakinwa Famakinwa, MD
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1982284535

Michelle Famakinwa Famakinwa is a Student in an Organized Health Care Education/Training Program based in Peoria, IL. Michelle Famakinwa Famakinwa practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Michelle Famakinwa Famakinwa is 1982284535 and holds a License No. (Illinois).

The current practice location address for Michelle Famakinwa Famakinwa is 221 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-495-1640.

Location: 221 Ne Glen Oak Ave, Peoria, IL, 61602-5027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982284535
Provider Name
Michelle Famakinwa Famakinwa
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
221 Ne Glen Oak Ave, Peoria, IL, 61602-5027
Phone Number
309-495-1640
Fax Number
Provider Enumeration Date
04/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
221 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61636-0001
Phone Number
309-495-1640
Fax Number
person
Provider Business Mailing Address Details
Address
221 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61636-0001
Phone Number
309-495-1640
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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