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Organization
OTANGELES MEDICAL OF ILLINOIS, INC.
Active
Organization
OTANGELES MEDICAL OF ILLINOIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIONNE C OKAFOR MD (PRESIDENT)
(219) 256-6002
Entity
Organization
Contact information
Practice address
8 DERBY WAY, BLOOMINGTON, IL 61704-2820
(219) 256-6002
Mailing address
8 DERBY WAY, BLOOMINGTON, IL 61704-2820
(219) 256-6002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/26/2026
Last updated
06/26/2026
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