Denise Sousa, MD | |
611 W Park St, Urbana, IL 61801-2501 | |
(217) 383-3140 | |
(217) 383-4966 |
Full Name | Denise Sousa |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 611 W Park St, Urbana, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851709455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 4301106037 (Michigan) | Secondary |
207V00000X | Obstetrics & Gynecology | 036144699 (Illinois) | Primary |
Entity Name | Vna Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508826983 PECOS PAC ID: 6901879311 Enrollment ID: O20041004000258 |
Entity Name | Carle Health Care Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
Mailing Address | Practice Location Address |
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Denise Sousa, MD 611 W. Park St, Fapc, Urbana, IL 61801 Ph: () - | Denise Sousa, MD 611 W Park St, Urbana, IL 61801-2501 Ph: (217) 383-3140 |
Dr. Ronald E Kimball, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 509 W University Ave, Urbana, IL 61801 Phone: 217-383-6636 Fax: 217-383-3466 | |
Rebecca A Wagner, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 611 W. Park St., Ob/gyn, Urbana, IL 61801 Phone: 217-383-3140 Fax: 217-383-4966 | |
Karima M Shmila, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 611 W. Park St, Fapc, Urbana, IL 61801 Phone: 217-383-3311 | |
Ismail Olusayo Oshogwemoh, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3140 Fax: 217-383-4966 | |
Mrs. Tovah Ann Buikema, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Maternal-fetal Medicine, Urbana, IL 61801 Phone: 217-383-4930 Fax: 217-383-4014 | |
Anna L Schmitz, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Sc4, Urbana, IL 61801 Phone: 217-383-3140 Fax: 217-383-4966 | |
Dr. Jamie Lynn Fulfer, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 602 W. University Avenue, Ob/gyn, Urbana, IL 61801 Phone: 217-383-3140 Fax: 217-383-4966 |