| Doctor Name: | DR. ERHIME T BADEJO |
| NPI Number: | 1073599767 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D MSN |
| License Number: | 125067577 |
| Business Practice Address: | 305 W Jackson St Ste 200 Carbondale Family Medicine Carbondale, IL - 629011474 |
| Business Phone Number: | 6185366621 |
| Business Fax Number: | 6184531102 |
| Mailing Address: | 305 W Jackson St Ste 200, Carbondale Family Medicine CARBONDALE |
| State: | IL |
| Postal Code: | 629011474 |
| Phone Number: | 6185366621 |
| Fax Number: | 6184531102 |
| NPI Enumeration Date: | 12/15/2005 |
| NPI Last Update Date: | 10/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 125067577 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |