Adewumi C Odefadehan (NPI# 1063900603, PAC ID# 0345595781) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1063900603 |
| PAC ID by PECOS | 0345595781 |
| Professional Enrollment ID | I20180626001731 |
| Full Name | Adewumi C Odefadehan |
| Organization Legal Name | ROCKFORD PSYCHIATRIC MEDICAL SERVICES SC |
| Address |
1639 N Alpine Suite 260 Rockford IL 61107-1481 |
| Phone Number | 8153951500 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6901089515 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140239 | ROCKFORD MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1639 N Alpine, Suite 260, Rockford, IL 61107-1481 | 8153951500 | ROCKFORD PSYCHIATRIC MEDICAL SERVICES SC |
| Organization Legal Name | ROCKFORD PSYCHIATRIC MEDICAL SERVICES SC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda K Beard | Clinical Social Worker | Rockford Psychiatric Medical Services Sc | 2250 Pearl St, Belvidere, IL 61008-6022 |
| Lauran Elisabeth Wendt | Nurse Practitioner | Rockford Psychiatric Medical Services Sc | 1639 N Alpine Rd, Suite 260, Rockford, IL 61107-1481 |
| Colette M Carter | Nurse Practitioner | Rockford Psychiatric Medical Services Sc | 1639 N Alpine Rd, Suite 260, Rockford, IL 61107-1481 |
| Angeline L Brechlin | Nurse Practitioner | Rockford Psychiatric Medical Services Sc | 2250 Pearl St, Belvidere, IL 61008-6022 |
| William Giakas | Psychiatry | Rockford Psychiatric Medical Services Sc | 2250 Pearl St, Belvidere, IL 61008-6022 |
| Wendy R Seerup | Clinical Social Worker | Rockford Psychiatric Medical Services Sc | 1639 N Alpine Rd, Suite 260, Rockford, IL 61107-1481 |
| Street Address |
1639 N ALPINE SUITE 260 |
| City | ROCKFORD |
| State | IL |
| Zip | 61107-1481 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Hultman | Clinical Social Worker | 4320 Spring Creek Rd, Suite 9, Rockford, IL 61107-1157 | |
| Casey Jane Pilcher | Clinical Social Worker | 4320 Spring Creek Rd, Suite 18, Rockford, IL 61107-1158 | |
| Christine Blake Feathers | Clinical Social Worker | 4320 Spring Creek Rd, Rockford, IL 61107-1175 | |
| Roger H Hill | Optometry | Primary Eye Care Centers PC | 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 |
| Vasana Lerdvoratavee | Optometry | Primary Eye Care Centers PC | 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 |
| Ronald Weingart | Optometry | Primary Eye Care Centers PC | 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 |
| Kelly A Kalt | Clinical Social Worker | 1639 N Alpine Rd, Suite 403, Rockford, IL 61107-1440 | |
| Amira Al-basha | Physician Assistant | Edgebrook Dermatology P.C. | 1639 N Alpine Rd, Suite 380, Rockford, IL 61107-1440 |
| Maria Albasha | Dermatology | Edgebrook Dermatology P.C. | 1639 N Alpine Rd, Suite 380, Rockford, IL 61107-1440 |
| Stephen D Beaman | Clinical Social Worker | 1639 N Alpine Rd, Suite 403, Rockford, IL 61107-1440 | |
| Find all physicians in zip 61107 | |||
| City | ROCKFORD |
| Zip Code | 61107 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ROCKFORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Adewumi C Odefadehan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.