Dr Wuraola Ibiyemi Omotosho, MD | |
102 Commerce Dr, Clifton, IL 60927-9501 | |
(815) 694-2044 | |
Not Available |
Full Name | Dr Wuraola Ibiyemi Omotosho |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 20 Years |
Location | 102 Commerce Dr, Clifton, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427222884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036120926 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Presence Home Care-kankakee | Bourbonnais, IL | Home health agency |
Hospice Of Kankakee Valley Inc | Bourbonnais, IL | Hospice |
Presence St Marys Hospital | Kankakee, IL | Hospital |
Riverside Medical Center | Kankakee, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Presence Healthcare Services | 2860396769 | 317 |
Entity Name | Presence Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356727127 PECOS PAC ID: 2860396769 Enrollment ID: O20150810001673 |
Mailing Address | Practice Location Address |
---|---|
Dr Wuraola Ibiyemi Omotosho, MD 102 Commerce Dr, Clifton, IL 60927-9501 Ph: (815) 694-2044 | Dr Wuraola Ibiyemi Omotosho, MD 102 Commerce Dr, Clifton, IL 60927-9501 Ph: (815) 694-2044 |
Mr. Abraham Thomas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 335 6th St E, Clifton, IL 60927 Phone: 815-464-2621 Fax: 815-937-8246 | |
Mr. Venkata Moparthi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 335 E Sixth St, Clifton, IL 60927 Phone: 815-936-5167 Fax: 815-937-8246 |