Christiana Otuwa, is a
Nurse Practitioner - Gerontology based in Olympia Flds, Illinois. Christiana Otuwa is licensed to practice in Illinois (license number AG05220029) and her current practice location is
504 Wysteria Dr, Olympia Flds, Illinois. She can be reached at her office (for appointments etc.) via phone at
(312) 864-6000.
NPI number for Christiana Otuwa is 1134846124 and her current mailing address is 504 Wysteria Dr, Olympia Flds, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134846124.
Provider's Profile
Full Name | Christiana Otuwa |
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Gender | Female |
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Speciality | Nurse Practitioner - Gerontology |
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Location | 504 Wysteria Dr, Olympia Flds, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134846124
- Provider Enumeration Date: 10/20/2022
- Last Update Date: 10/20/2022
Medical Identifiers
Medical identifiers for Christiana Otuwa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134846124 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LG0600X | Nurse Practitioner - Gerontology | AG05220029 (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. Christiana Otuwa 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 |
Christiana Otuwa, 504 Wysteria Dr, Olympia Flds, IL 60461-1228 Ph: (708) 955-6204 | Christiana Otuwa, 504 Wysteria Dr, Olympia Flds, IL 60461-1228 Ph: (312) 864-6000 |
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