Dr Oladele O Ajao, MD | |
2100 Madison Ave, Granite City, IL 62040-4701 | |
(618) 452-3301 | |
(618) 452-3312 |
Full Name | Dr Oladele O Ajao |
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Gender | Male |
Speciality | Internal Medicine |
Location | 2100 Madison Ave, Granite 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 |
---|---|---|---|
1700829025 | NPI | - | NPPES |
036108133 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 036108133 (Illinois) | Secondary |
207R00000X | Internal Medicine | 036108133 (Illinois) | Primary |
Entity Name | Southern Illinois Healthcare Foundation, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013198712 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641 |
Mailing Address | Practice Location Address |
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Dr Oladele O Ajao, MD 2100 Madison Ave, Granite City, IL 62040-4701 Ph: (618) 452-3301 | Dr Oladele O Ajao, MD 2100 Madison Ave, Granite City, IL 62040-4701 Ph: (618) 452-3301 |
Benedict F Painter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2044 Madison Ave, Suite 15, Granite City, IL 62040 Phone: 618-451-1500 Fax: 618-451-9498 | |
Riyadh Salih, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-3000 | |
Timothy Hipskind, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-3000 Fax: 618-798-3000 | |
Lawrence Harmon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2044 Madison Ave, Suite 23, Granite City, IL 62040 Phone: 618-451-1500 | |
Dr. Jowe Hsieh, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-452-3301 Fax: 618-452-3312 | |
Dr. Prasanna C Kumar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3165 Myrtle Ave, Granite City, IL 62040 Phone: 618-877-3066 Fax: 618-877-3060 | |
Nelson C Yu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2044 Madison Ave Ste 15, Granite City, IL 62040 Phone: 618-798-8405 Fax: 509-798-8116 |