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ANDERSON AND ODUNSI MD LLC NPI 1346399391


NPI Information

NPI: 1346399391
Provider Name: ANDERSON AND ODUNSI, MD LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
2 MEMORIAL DR
SUITE 305
DECATUR, IL
ZIP 62526
Phone: (217) 876-8370
Get Directions

ANDERSON AND ODUNSI, MD LLC is an obstetrics gynecology in Decatur, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. ANDERSON AND ODUNSI, MD LLC NPI is 1346399391. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2 MEMORIAL DR
SUITE 305
DECATUR, IL
ZIP 62526-950
Phone: (217) 876-8370
Fax: (217) 876-8375

The provider's authorized official is Angela K. Anderson .
The authorized official title is Medical Doctor Ob-gyn and has the following contact phone number (217) 876-8370.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 8/7/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LW0102XNurse PractitionerWomen's Health209000428ILLINOISNo
2363L00000XNurse Practitioner209001529ILLINOISNo
3207V00000XObstetrics & Gynecology036069886ILLINOISNo
4207V00000XObstetrics & Gynecology036094384ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DA0763OTHERILLINOISMEDICARE RAILROAD
2205433MEDICARE ID-TYPE UNSPECIFIEDILLINOISANDERSON & ODUNSI MD LLC
305832021OTHERILLINOISBLUE CROSS BLUE SHIELD GR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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