| Osafo Health Care Clinic Inc | |
|
215 Remington Blvd Ste G2 Bolingbrook IL 60440-3663 | |
| (630) 226-0162 | |
| (630) 226-0160 |
| Full Name | Osafo Health Care Clinic Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 215 Remington Blvd Ste G2, Bolingbrook, Illinois |
| Authorized Official Name and Position | Seth K Osafo (PRESIDENT) |
| Authorized Official Contact | 3096903369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osafo Health Care Clinic Inc 215 Remington Blvd Ste G2 Bolingbrook IL 60440-3663 Ph: (630) 226-0162 | Osafo Health Care Clinic Inc 215 Remington Blvd Ste G2 Bolingbrook IL 60440-3663 Ph: (630) 226-0162 |
| NPI Number | 1114106978 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 04/08/2025 |
| Medicare PECOS PAC ID | 5799863155 |
|---|---|
| Medicare Enrollment ID | O20080425000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114106978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036099549 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Seth K Osafo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841330537 PECOS PAC ID: 1355240482 Enrollment ID: I20040107000636 |
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