| Oladapo Olayinka Kukoyi, | |
|
751 May St, Calumet City, IL 60409-4415 | |
| (708) 743-1190 | |
| Not Available |
| Full Name | Oladapo Olayinka Kukoyi |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 751 May St, Calumet City, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831720267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056012505 (Illinois) | Primary |
| Provider Name | Illinois Home Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1114506102 PECOS PAC ID: 5799178968 Enrollment ID: O20220210002153 |
| Mailing Address | Practice Location Address |
|---|---|
| Oladapo Olayinka Kukoyi, 751 May St, Calumet City, IL 60409-4415 Ph: () - | Oladapo Olayinka Kukoyi, 751 May St, Calumet City, IL 60409-4415 Ph: (708) 743-1190 |
Ms. Armentha L. Cross, 056.002718 Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 336 Luella Ave, Calumet City, IL 60409 Phone: 312-296-7478 Fax: 773-373-7304 | |
Marita Anderson, MS, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1551 Huntington Dr, Calumet City, IL 60409 Phone: 708-862-5500 | |
Vernetta Roche Peoples, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 42 163rd Pl, Calumet City, IL 60409 Phone: 708-655-6344 Fax: 708-841-3265 |