Mustapha O Olugbile, APN | |
2701 W 68th St, Chicago, IL 60629-1813 | |
(773) 884-9000 | |
Not Available |
Full Name | Mustapha O Olugbile |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 2701 W 68th St, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184197410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209017733 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mount Sinai Community Foundation | 5991600405 | 207 |
Entity Name | Mount Sinai Community Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032 |
Entity Name | Md Medical, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467754911 PECOS PAC ID: 5496938532 Enrollment ID: O20110325000846 |
Entity Name | Chosen One Psychiatric Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568116358 PECOS PAC ID: 8022405695 Enrollment ID: O20220429001736 |
Mailing Address | Practice Location Address |
---|---|
Mustapha O Olugbile, APN 1501 S California Ave, Chicago, IL 60608-1732 Ph: () - | Mustapha O Olugbile, APN 2701 W 68th St, Chicago, IL 60629-1813 Ph: (773) 884-9000 |
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