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Osaretin B Idusuyi, MD
Orthopedic Foot and Ankle Surgery Physician in Springfield, Illinois
NPI 1417944091

Osaretin B Idusuyi is a Orthopedic Foot and Ankle Surgery Physician based in Springfield, IL and is specialized in Foot and Ankle Surgery. Osaretin B Idusuyi practices in Springfield, IL and has the professional credentials of MD. The NPI Number for Osaretin B Idusuyi is 1417944091 and holds a License No. 036095609 (Illinois).

The current practice location address for Osaretin B Idusuyi is 1301 S Koke Mill Rd, Springfield, IL and can be reached out via phone at 217-547-9100 and via fax at 217-547-9236. You can also correspond with Osaretin B Idusuyi through the mailing address at PO BOX 9469, SPRINGFIELD, IL - 62791-9469 (mailing address contact number: 217-547-9100).

Location: 1301 S Koke Mill Rd, Springfield, IL, 62791-9469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417944091
Provider Name
Osaretin B Idusuyi
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1301 S Koke Mill Rd, Springfield, IL, 62791-9469
Phone Number
217-547-9100
Fax Number
217-547-9236
Provider Enumeration Date
09/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036095609 05 IL
institution
Provider Business Practice Location Address Details
Address
1301 S Koke Mill Rd
City
Springfield
State
Illinois
Zip
62711-9252
Phone Number
217-547-9100
Fax Number
217-547-9236
person
Provider Business Mailing Address Details
Address
1301 S Koke Mill Rd
City
Springfield
State
Illinois
Zip
62711-9252
Phone Number
217-547-9100
Fax Number
217-547-9236
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
036095609 (Illinois)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Foot and Ankle Surgery
Taxonomy
207XX0004X
License No.
036095609 (Illinois)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
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