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Anderson And Odunsi, Md Llc
Women's Health Nurse Practitioner in Decatur, Illinois
NPI 1346399391

Anderson And Odunsi, Md Llc is a Women's Health Nurse Practitioner based in Decatur, IL and is specialized in Women's Health. Anderson And Odunsi, Md Llc practices in Decatur, IL. The NPI Number for Anderson And Odunsi, Md Llc is 1346399391 and holds a License No. 036094384 (Illinois).

The current practice location address for Anderson And Odunsi, Md Llc is 2 Memorial Dr, Decatur, IL and can be reached out via phone at 217-876-8370 and via fax at 217-876-8375.

Location: 2 Memorial Dr, Decatur, IL, 62526-3950
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346399391
Provider Name
Anderson And Odunsi, Md Llc
Credential
Provider Entity Type
Organization
Address
2 Memorial Dr, Decatur, IL, 62526-3950
Phone Number
217-876-8370
Fax Number
217-876-8375
Provider Enumeration Date
01/09/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DA0763 01 IL MEDICARE RAILROAD
05832021 01 IL BLUE CROSS BLUE SHIELD GR
institution
Provider Business Practice Location Address Details
Address
2 Memorial Dr
City
Decatur
State
Illinois
Zip
62526-3950
Phone Number
217-876-8370
Fax Number
217-876-8375
person
Provider Business Mailing Address Details
Address
2 Memorial Dr
City
Decatur
State
Illinois
Zip
62526-3950
Phone Number
217-876-8370
Fax Number
217-876-8375
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
209001529 (Illinois)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
036069886 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
363LW0102X
License No.
036094384 (Illinois)
Definition
Definition to come...
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