Olajumoke Adubifa, MD | |
100 E Jeffery St, Kankakee, IL 60901-5018 | |
(815) 939-8661 | |
Not Available |
Full Name | Olajumoke Adubifa |
---|---|
Gender | Female |
Speciality | Family Medicine - Geriatric Medicine |
Location | 100 E Jeffery St, Kankakee, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598832875 | NPI | - | NPPES |
4673170001 | Other | IL | DMERC GROUP |
P00444366/CK6882 | Other | IL | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | 036-098407 (Illinois) | Primary |
Entity Name | Illinois Department Of Human Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003960394 PECOS PAC ID: 9830003920 Enrollment ID: O20031113000414 |
Entity Name | Excellent Medical Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215223623 PECOS PAC ID: 1355506817 Enrollment ID: O20120706000494 |
Mailing Address | Practice Location Address |
---|---|
Olajumoke Adubifa, MD 120 W 111th St, Chicago, IL 60628-4215 Ph: (815) 939-8661 | Olajumoke Adubifa, MD 100 E Jeffery St, Kankakee, IL 60901-5018 Ph: (815) 939-8661 |
Dr. Kenneth George Handy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 400 North Wall St, Ste 504, Kankakee, IL 60901 Phone: 815-932-4021 Fax: 815-932-7270 | |
Brian Patrick Olofsson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Wall, Suite 510, Kankakee, IL 60901 Phone: 815-932-5725 Fax: 815-932-5872 | |
Dr. Harris Waheed, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 70 Meadowview Ctr, Suite 200, Kankakee, IL 60901 Phone: 815-802-0000 Fax: 815-935-1000 | |
Dr. Shirley Kathleen Comer, ACNS-BC, APN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 606 E Court St, Kankakee, IL 60901 Phone: 815-216-3346 Fax: 815-348-6701 | |
Regan Lane Kendregan, PA Family Medicine Medicare: Medicare Enrolled Practice Location: 400 N Wall St, Ste 510, Kankakee, IL 60901 Phone: 815-932-5725 Fax: 915-932-5872 | |
Simon K Wu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Wall St Ste 303, Kankakee, IL 60901 Phone: 815-933-1664 Fax: 815-935-5660 | |
Princy Ann George, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 W Court St Ste 400, Kankakee, IL 60901 Phone: 815-937-8744 |