Osafo Health Care Clinic INC
Internal Medicine in Bolingbrook, IL. Organization (NPI-2).
NPI number1114106978
StatusActive
Last updated in NPPESApr 8, 2025
Details
- NPI
- 1114106978
- Entity type
- Organization (NPI-2)
- Legal business name
- Osafo Health Care Clinic INC
- Organization subpart
- No
- Enumeration date
- Oct 29, 2007
- Certification date
- Apr 8, 2025
- Last updated
- Apr 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 261QP2300X | Clinic/Center, Primary Care | 036099549 | IL |
Practice location
215 Remington Blvd Ste G2Bolingbrook, IL 60440-3663
Phone 630-226-0162 · Fax 630-226-0160
Mailing address
215 Remington Blvd Ste G2Bolingbrook, IL 60440-3663
Phone 630-226-0162 · Fax 630-226-0160
Authorized official
Seth K Osafo
President
3096903369
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