Rita N. Oganwu M.d.s.c. | |
20303 S Crawford Ave Ste 110 Olympia Fields IL 60461 | |
(708) 922-9170 | |
(708) 922-9180 |
Full Name | Rita N. Oganwu M.d.s.c. |
---|---|
Speciality | Internal Medicine |
Location | 20303 S Crawford Ave Ste 110, Olympia Fields, Illinois |
Authorized Official Name and Position | Rita N Oganwu (CEO) |
Authorized Official Contact | 7085031532 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Rita N. Oganwu M.d.s.c. 20303 S Crawford Ave Ste 110 Olympia Fields IL 60461 Ph: (708) 922-9170 | Rita N. Oganwu M.d.s.c. 20303 S Crawford Ave Ste 110 Olympia Fields IL 60461 Ph: (708) 922-9170 |
NPI Number | 1588618060 |
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Provider Enumeration Date | 05/20/2006 |
Last Update Date | 09/16/2020 |
Medicare PECOS PAC ID | 7113041179 |
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Medicare Enrollment ID | O20100826001077 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588618060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Illinois) | Primary |
Provider Name | Rita N Oganwu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962452193 PECOS PAC ID: 3173508116 Enrollment ID: I20100826001108 |
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