Abiodun Sangoseni, MD | |
17 Ginger Creek Mdws, Glen Carbon, IL 62034-3508 | |
(800) 968-6866 | |
Not Available |
Full Name | Abiodun Sangoseni |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 38 Years |
Location | 17 Ginger Creek Mdws, Glen Carbon, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194710483 | NPI | - | NPPES |
196690 | Other | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Crossroads Community Hospital | Mount vernon, IL | Hospital |
Memorial Hospital | Chester, IL | Hospital |
Gateway Regional Medical Center | Granite city, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ahs Il Medical Group Llc | 5496111676 | 55 |
Entity Name | Integritas Emergency Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760 |
Entity Name | Ahs Il Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659098101 PECOS PAC ID: 5496111676 Enrollment ID: O20230512001300 |
Mailing Address | Practice Location Address |
---|---|
Abiodun Sangoseni, MD Po Box 66971, Dept Le, Saint Louis, MO 63166-6971 Ph: (800) 968-6866 | Abiodun Sangoseni, MD 17 Ginger Creek Mdws, Glen Carbon, IL 62034-3508 Ph: (800) 968-6866 |
Dr. Alisha Allen White, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Country Club Executive Park, Glen Carbon, IL 62034 Phone: 618-659-5567 Fax: 618-391-7117 |