Adesida, Patience Okpaku

Adesida, Patience Okpaku is an sole proprietor health care provider with primary practice located at 2008 N Market St , Champaign IL 61822-1308. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Adesida, Patience Okpaku can be contacted via phone (217) 239-6667.

Contact Information

Primary practice address
2008 N Market St Champaign IL 61822-1308
Phone: (217) 239-6667
Fax: (217) 239-6670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036075310 Illinois

Profile Details

NPI number 1548377559
LBN Legal business name Adesida, Patience Okpaku
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2006
Last updated Aug 27th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548377559 NPPES
Illinois Other 173634 PERSONAL CARE HMO
Illinois MEDICAID 036075310 PERSONAL CARE HMO
Illinois Other 01027388 PERSONAL CARE HMO

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