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Organization

OTANGELES MEDICAL OF INDIANA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIONNE C OKAFOR MD (PRESIDENT)
(219) 256-6002
Entity
Organization

Contact information

Practice address
4410 W 49TH AVE, HOBART, IN 46342-3744
(219) 256-6002
Mailing address
8 DERBY WAY, BLOOMINGTON, IL 61704-2820
(219) 256-6002

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
02/20/2026
Last updated
08/30/2026
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