Kenneth Latokunbo Soyemi, MD is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in Westchester, Illinois. His current practice location is
10337 Canterbury St, Westchester, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 473-1415.
Kenneth Latokunbo Soyemi is licensed to practice in Illinois (license number 036-093800) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467664946.
Physician's Profile
| Full Name | Kenneth Latokunbo Soyemi |
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| Gender | Male |
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| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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| Location | 10337 Canterbury St, Westchester, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1467664946
- Provider Enumeration Date: 05/04/2007
- Last Update Date: 04/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 0345134896
- Enrollment ID: I20110228000651
Medical Identifiers
Medical identifiers for Kenneth Latokunbo Soyemi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467664946 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 36949 (Iowa) | Secondary |
| 208D00000X | General Practice | 036093800 (Illinois) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 036-093800 (Illinois) | Primary |
| 208000000X | Pediatrics | 036-093800 (Illinois) | Secondary |
| 2080H0002X | Pediatrics - Hospice And Palliative Medicine | 52154 (California) | Secondary |
| 2080H0002X | Pediatrics - Hospice And Palliative Medicine | 93783 (Florida) | Secondary |
| 2080H0002X | Pediatrics - Hospice And Palliative Medicine | 036093800 (Illinois) | Secondary |
| 2080H0002X | Pediatrics - Hospice And Palliative Medicine | 36949 (Iowa) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kenneth Latokunbo Soyemi allows following entities to bill medicare on his behalf.
| Entity Name | Advocate Health And Hospitals Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064 |
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| Entity Name | Cook County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588612832
PECOS PAC ID: 2860398088
Enrollment ID: O20031209000747 |
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| Entity Name | County Of Lake |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164446712
PECOS PAC ID: 7214838861
Enrollment ID: O20040116000192 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Latokunbo Soyemi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kenneth Latokunbo Soyemi, MD
10337 Canterbury St,
Westchester, IL 60154-3503
Ph: () - | Kenneth Latokunbo Soyemi, MD
10337 Canterbury St,
Westchester, IL 60154-3503
Ph: (708) 473-1415 |
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