Individual provider · Type 1 NPI

Babatunde Samuel Ogunfowokan

Registered Nurse · Edwardsville, IL

NPI number 1619806296 Active

Practice location

200 University Park Dr
Edwardsville, IL 62025-3649

Mailing address

3140 Impala Trl
Frisco, TX 75034-6219

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X041.606478 (IL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1619806296

Babatunde Samuel Ogunfowokan's National Provider Identifier is 1619806296, issued on May 18, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Edwardsville, IL. The record was last updated on May 18, 2026.