Osaretin B Idusuyi in Springfield - Foot And Ankle Surgery
Osaretin B Idusuyi - NPI 1417944091
Osaretin B Idusuyi is a Foot And Ankle Surgery in Springfield, Illinois. Osaretin B Idusuyi practices all healthcare services and medical treatments related to Foot And Ankle Surgery. The NPI Number for Osaretin B Idusuyi is 1417944091. The last update date is 2020-04-13.
Osaretin B Idusuyi's current location address is Po Box 9469, Springfield, Illinois. You can contact this provider via phone number 2175479100 and fax number 2175479236. The mailing address for Osaretin B Idusuyi is Po Box 9469, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Osaretin B Idusuyi |
|---|---|
| Address | Po Box 9469, Springfield, Illinois |
| Phone Number | 2175479100 |
| Fax Number | 2175479236 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1417944091 |
|---|---|
| Provider Enumeration Date | 2005-09-29 |
| Last Updated Date | 2020-04-13 |
Provider Mailing Address Detail
| Address | Po Box 9469 |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627919469 |
| Phone Number | 2175479100 |
| Fax Number | 2175479236 |
Provider's Primary Taxonomy Detail
| Speciality | Foot And Ankle Surgery |
|---|---|
| Taxonomy | 207Xx0004X |
| Licence No | 36095609 |
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Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and ch |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36095609 | IL | -- |
Post Comment/ Review Below
What is the Osaretin B Idusuyi's 1417944091?
The Osaretin B Idusuyi's NPI (National Provider Identifier) Number is 1417944091. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Osaretin B Idusuyi is physically located?
The Osaretin B Idusuyi is physically situated at the following address: Po Box 9469, Springfield, IL, 627919469.
What is Osaretin B Idusuyi's specialized field of practice, and what is the corresponding taxonomy classification code?
The Osaretin B Idusuyi's area of specialization is Foot And Ankle Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207Xx0004X.
On what date did the Osaretin B Idusuyi receive the assignment of its 1417944091 from the Centers for Medicare & Medicaid Services?
The Osaretin B Idusuyi was issued its 1417944091 by the Centers for Medicare & Medicaid Services on 2005-09-29.
As of what date was the information regarding Osaretin B Idusuyi, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Osaretin B Idusuyi, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-04-13.