Omobolawa Yeside Kukoyi, MD | |
1000 W Harlem Ave, Monmouth, IL 61462-1007 | |
(309) 734-3141 | |
(309) 734-3029 |
Full Name | Omobolawa Yeside Kukoyi |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 1000 W Harlem Ave, Monmouth, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518349133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 125066660 (Illinois) | Secondary |
207P00000X | Emergency Medicine | 036146048 (Illinois) | Primary |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Entity Name | Rush Oak Park Er Physicians Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447260880 PECOS PAC ID: 8820190606 Enrollment ID: O20070226000187 |
Entity Name | Carle Health Care Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265966048 PECOS PAC ID: 1355259714 Enrollment ID: O20170828003194 |
Mailing Address | Practice Location Address |
---|---|
Omobolawa Yeside Kukoyi, MD 1000 W Harlem Ave, Monmouth, IL 61462-1007 Ph: (309) 734-3141 | Omobolawa Yeside Kukoyi, MD 1000 W Harlem Ave, Monmouth, IL 61462-1007 Ph: (309) 734-3141 |
Grace Iyabo Komolafe, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 W Harlem Ave, Monmouth, IL 61462 Phone: 309-734-3141 Fax: 309-734-3029 |