| Otangeles Medical Of Illinois, Inc. | |
|
8 Derby Way Bloomington IL 61704-2820 | |
| (219) 256-6002 | |
| Not Available |
| Full Name | Otangeles Medical Of Illinois, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 8 Derby Way, Bloomington, Illinois |
| Authorized Official Name and Position | Dionne C Okafor (PRESIDENT) |
| Authorized Official Contact | 2192566002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Otangeles Medical Of Illinois, Inc. 8 Derby Way Bloomington IL 61704-2820 Ph: (219) 256-6002 | Otangeles Medical Of Illinois, Inc. 8 Derby Way Bloomington IL 61704-2820 Ph: (219) 256-6002 |
| NPI Number | 1023934643 |
|---|---|
| Provider Enumeration Date | 06/26/2026 |
| Last Update Date | 06/26/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023934643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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