Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Babatunde Samuel Ogunfowokan

Individual provider Registered Nurse · NPI 1619806296

Babatunde Samuel Ogunfowokan is a Registered Nurse in Edwardsville, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

200 University Park Dr
Edwardsville, IL 62025-3649
Phone: (618) 650-3957
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 041.606478 (IL)

Record details

NPI number1619806296
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 18, 2026
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address3140 Impala Trl, Frisco, TX 75034-6219

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