Mr Babatunde Adeosun, FNP | |
1260 E State Road 205, Columbia City, IN 46725-9492 | |
(602) 489-0000 | |
Not Available |
Full Name | Mr Babatunde Adeosun |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 6 Years |
Location | 1260 E State Road 205, Columbia City, Indiana |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164892469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.013330 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209.013330 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Bromenn Medical Center | Normal, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Swedish Covenant Management Services Inc | 4486556016 | 111 |
Carle West Physician Group Inc | 8921420308 | 254 |
Entity Name | Swedish Covenant Management Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760432348 PECOS PAC ID: 4486556016 Enrollment ID: O20040123000850 |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Entity Name | North American Partners In Anesthesia Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
Entity Name | Carle West Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
Mailing Address | Practice Location Address |
---|---|
Mr Babatunde Adeosun, FNP 4218 S King Dr, Apt 1n, Chicago, IL 60653-3298 Ph: (773) 886-6894 | Mr Babatunde Adeosun, FNP 1260 E State Road 205, Columbia City, IN 46725-9492 Ph: (602) 489-0000 |