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Organization
HANSERS ASSOCIATES
Active
Organization
HANSERS ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEYEMI OLUDARE FATOKI M.D (ATTENDING PHYSICIAN)
(708) 862-8156
Entity
Organization
Contact information
Practice address
1473 RING RD, CALUMET CITY, IL 60409-5459
(708) 862-8156
(708) 862-8159
Mailing address
1473 RING RD, CALUMET CITY, IL 60409-5459
(708) 862-8156
(708) 862-8159
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360847295
—
IL
01
—
05453
BLUE CHOICE PROVIDER NUM.
IL
01
—
1621962
BC/BS PROVIDER NUMBER
IL
01
—
2140333
AETNA LIFE
IL
01
—
40433
ADVOCATE BETHANY PHO
IL
01
—
40527
ADVOCATE TRINITY PHO
IL
01
—
541761812001
GREATER CHICAGO
IL
01
—
6147841
CIGNA
IL
01
—
800250040000
UNITED HEALTH CARE OF ILL
IL
01
—
N278978
HARMONY HEALTH PLAN OF IL
IL
Enumeration date
10/10/2005
Last updated
08/22/2020
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