| Dr Modupe Oladeinde, MD | |
|
619 South 25th Avenue, Bellwood, IL 60104 | |
| (708) 547-7951 | |
| Not Available |
| Full Name | Dr Modupe Oladeinde |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 619 South 25th Avenue, Bellwood, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437103512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-112349 (Illinois) | Primary |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Cook County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Modupe Oladeinde, MD 5525 W 92nd St, Oak Lawn, IL 60453-1617 Ph: () - | Dr Modupe Oladeinde, MD 619 South 25th Avenue, Bellwood, IL 60104 Ph: (708) 547-7951 |
Dr. Sandra Pinilla, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 456 25th Ave, Bellwood, IL 60104 Phone: 708-467-7254 | |
Jessie Wayne Castro, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 456 25th Ave, Bellwood, IL 60104 Phone: 708-467-7254 |