Odulola Odusanya, MBBS is a
Hospitalist physician based in Libertyville, Illinois. Odulola Odusanya is licensed to practice in Illinois (license number ) and her current practice location is 801 S Milwaukee Ave, Libertyville, Illinois. She can be reached at her office (for appointments etc.) via phone at
(847) 990-2165.
NPI number for Odulola Odusanya is 1124134911 and her current mailing address is 801 S Milwaukee Ave, Libertyville, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124134911.
Physician's Profile
Full Name | Odulola Odusanya |
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Gender | Female |
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Speciality | Hospitalist |
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Location | 801 S Milwaukee Ave, Libertyville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124134911
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Odulola Odusanya such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124134911 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | (Illinois) | Primary |
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. Odulola Odusanya is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Odulola Odusanya, MBBS 801 S Milwaukee Ave, Libertyville, IL 60048-3204 Ph: (847) 990-2165 | Odulola Odusanya, MBBS 801 S Milwaukee Ave, Libertyville, IL 60048-3204 Ph: (847) 990-2165 |
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