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Active NPI 1124434964 Individual Practitioner Male Practitioner

Dr. Kolawole Olufemi Dominik Sofowora , MD

Pediatrics • Sycamore, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kolawole Sofowora, MD is a registered healthcare professional specializing in Pediatrics in Sycamore, IL. Practice services are available at 165 E PLANK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

165 E Plank Rd

Sycamore, IL 60178

Telephone 8153639400
Fax 3144544102
Associated Practice Facility / Clinic
🏢 Dekalb Clinic Chartered Facility NPI 1518984228

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Sycamore, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Sycamore, IL (3277 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036.142733

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MO 2014019161

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Divya Kodali , MD

Student in an Organized Health Care Education/Training Program

NPI 1033008768

Doctor of Medicine (M.D.)

Dr. Baylee Kinnett , DO

Student in an Organized Health Care Education/Training Program

NPI 1063301554

Doctor of Osteopathic Medicine (D.O.)

NPI 1083843577

Doctor of Medicine (M.D.)

Zoe Weld

Student in an Organized Health Care Education/Training Program

NPI 1114853215
NPI 1124689039

Doctor of Medicine (M.D.), Master of Public Health

NPI 1144671868

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active April 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2017

Registered at 165 E PLANK RD, SYCAMORE, IL 60178 (Tel: 8153639400)

📍
Updated Business Mailing Address April 24, 2017

Registered at 370 SUMMIT ST, ELGIN, IL 60120 (Tel: 8476081344)

👤
Provider Name / Credentials Updated April 24, 2017

Recorded as KOLAWOLE SOFOWORA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2017

Pediatrics (License #2014019161 in MO)

NPI Profile Active July 01, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2014

Registered at 1 CHILDRENS PL, 3S34, SAINT LOUIS, MO 631101002 (Tel: 3144546006)

📍
Updated Business Mailing Address July 01, 2014

Registered at 1 CHILDRENS PL, 3S34, SAINT LOUIS, MO 631101002 (Tel: 3144546006)

👤
Provider Name / Credentials Updated July 01, 2014

Recorded as KOLAWOLE SOFOWORA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2014

Pediatrics (License #2014019161 in MO)

🟢
Initial NPI Registration & Enumeration July 01, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124434964
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2014
Last Update: April 24, 2017
Sole Proprietor: No

Mailing Address

370 Summit St

Elgin, IL 60120

Phone: 8476081344

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.