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Contact Information

OSARETIN B IDUSUYI, MD
1118 HAMPSHIRE ST
QUINCY, IL62301-3027
 Phone: 217-222-6550
 Fax: 217-277-2253
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for OSARETIN B IDUSUYI · (Male)

NPI Number 1417944091
Status Active
Credentials MD
Entity Individual
Enumeration date 09/29/2005
Last updated 08/19/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 036095609
  • IL Medicaid 036095609
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER - (Acute Care)
    701 N FIRST ST
    SPRINGFIELD, IL 62781
  • ST FRANCIS HOSPITAL - (Critical Access)
    1215 FRANCISCAN DR
    LITCHFIELD, IL 62056
  • ST JOHNS HOSPITAL - (Acute Care)
    800 E CARPENTER ST
    SPRINGFIELD, IL 62769
  • ST MARYS HOSPITAL - (Acute Care)
    1800 E LAKE SHORE DR
    DECATUR, IL 62521
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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