| Bolatito Olubukola Ogunsanwo, APRN, CNP | |
|
3707 Doty Rd, Woodstock, IL 60098-7530 | |
| (815) 334-5018 | |
| (815) 206-2822 |
| Full Name | Bolatito Olubukola Ogunsanwo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 3707 Doty Rd, Woodstock, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619747219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209.028763 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209028763 (Illinois) | Primary |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Entity Name | Dupage Psychiatric Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801465695 PECOS PAC ID: 2062806490 Enrollment ID: O20220301002600 |
| Mailing Address | Practice Location Address |
|---|---|
| Bolatito Olubukola Ogunsanwo, APRN, CNP 3707 Doty Rd, Woodstock, IL 60098-7530 Ph: (815) 334-5018 | Bolatito Olubukola Ogunsanwo, APRN, CNP 3707 Doty Rd, Woodstock, IL 60098-7530 Ph: (815) 334-5018 |
Sarah A Pearson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3701 Doty Rd, Woodstock, IL 60098 Phone: 815-206-3400 | |
Katlyn Koskotas, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2000 Lake Ave, Woodstock, IL 60098 Phone: 815-337-7100 | |
Angela K Astleford, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3701 Doty Rd, Woodstock, IL 60098 Phone: 815-338-6600 Fax: 815-206-5376 | |
Shelly A Bauer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3707 Doty Rd Ste G, Woodstock, IL 60098 Phone: 815-338-6600 Fax: 815-206-2822 | |
Joanna Hansen, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3707 Doty Rd Ste G, Woodstock, IL 60098 Phone: 815-334-5018 Fax: 815-206-2822 | |
Roseann Cecilina Iverson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 Lake Ave, Woodstock, IL 60098 Phone: 815-337-7100 Fax: 815-337-4793 | |
Mrs. Elizabeth Rios, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13711 W Jackson St, Woodstock, IL 60098 Phone: 815-337-9640 Fax: 815-337-9641 |