person
Olatubosun Odusi, MD
Pediatrics Physician in Woodstock, Illinois
NPI 1972598084

Olatubosun Odusi is a Pediatrics Physician based in Woodstock, IL. Olatubosun Odusi practices in Woodstock, IL and has the professional credentials of MD. The NPI Number for Olatubosun Odusi is 1972598084 and holds a License No. 216736 (Illinois).

The current practice location address for Olatubosun Odusi is 3707 Doty Rd Ste H, Woodstock, IL and can be reached out via phone at 815-206-2800 and via fax at 815-337-5491.

Location: 3707 Doty Rd Ste H, Woodstock, IL, 60098-7530
person
Provider Profile Details
NPI Number
1972598084
Provider Name
Olatubosun Odusi
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3707 Doty Rd Ste H, Woodstock, IL, 60098-7530
Phone Number
815-206-2800
Fax Number
815-337-5491
Provider Enumeration Date
09/14/2005
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1000006625 01 NY AFFINITY HEALTH
P2164401 01 NY OXFORD HEALTH PLAN
216736 01 NY HIP
2C9466 01 NY HEALTH NET
2031247 01 NY UNITED HEALTH CARE
7440270 01 NY AETNA PPO
2592835 01 NY AETNA USHC PPO
2697890 01 NY GHI
OO6736 01 NY ATLANTIS HEALTH PLAN
02112912 05 NY
112940201 01 NY HEALTH PLUS
0100713-02 01 NY AMERICHOICE
1R0921 01 NY EMPIRE BCBS
216736-A15 01 NY HEALTH FIRST
institution
Provider Business Practice Location Address Details
Address
3707 Doty Rd Ste H
City
State
Zip
60098-7530
Phone Number
815-206-2800
Fax Number
815-337-5491
person
Provider Business Mailing Address Details
Address
3707 Doty Rd Ste H
City
State
Zip
60098-7530
Phone Number
815-206-2800
Fax Number
815-337-5491
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
License No.
216736 (New York)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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