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Organization
OAKLUND MEDICAL GROUP, LTD
Active
Organization
OAKLUND MEDICAL GROUP, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILBERT N EGEKEZE MD (PRESIDENT)
(847) 515-2200
Entity
Organization
Contact information
Practice address
12151 REGENCY PKWY # 12173, HUNTLEY, IL 60142-7644
(847) 515-2200
(847) 515-2328
Mailing address
5480 ALEXANDRIA DR, LAKE IN THE HILLS, IL 60156-6211
(815) 477-7800
(815) 477-7812
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036100558
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100558
—
IL
01
—
04532115
BLUE CROSS/SHIELD
IL
01
—
DG3054
RAIL ROAD MEDICARE
IL
Enumeration date
08/09/2006
Last updated
12/15/2021
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