Osafo Health Care Clinic Inc - Medicare Primary Care in Bolingbrook, IL

Osafo Health Care Clinic Inc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Bolingbrook, Illinois. The current practice location for Osafo Health Care Clinic Inc is 303 Quadrangle Dr, Bolingbrook, Illinois. For appointments, you can reach them via phone at (630) 771-1070. The mailing address for Osafo Health Care Clinic Inc is 1107 W Cayman Cv, Peoria, Illinois and phone number is (309) 690-3369.

Osafo Health Care Clinic Inc is licensed to practice in Illinois (license number ). The clinic also participates in the medicare program and its NPI number is 1114106978. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (630) 771-1070.

Contact Information

Osafo Health Care Clinic Inc
303 Quadrangle Dr
Bolingbrook
IL 60440-3409
(630) 771-1070
(630) 771-1030

Primary Care Clinic Profile

Full NameOsafo Health Care Clinic Inc
SpecialityClinic/Center
Location303 Quadrangle Dr, Bolingbrook, Illinois
Authorized Official Name and PositionSeth K Osafo (PRESIDENT)
Authorized Official Contact3096903369
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Osafo Health Care Clinic Inc
1107 W Cayman Cv
Peoria
IL 61615-4301

Ph: (309) 690-3369
Osafo Health Care Clinic Inc
303 Quadrangle Dr
Bolingbrook
IL 60440-3409

Ph: (630) 771-1070

NPI Details:

NPI Number1114106978
Provider Enumeration Date10/29/2007
Last Update Date10/29/2007

Medicare PECOS Information:

Medicare PECOS PAC ID5799863155
Medicare Enrollment IDO20080425000026

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Medical Identifiers

Medical identifiers for Osafo Health Care Clinic Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114106978NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Osafo Health Care Clinic Inc acts as a billing entity for following providers:
Provider NameSeth K Osafo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841330537
PECOS PAC ID: 1355240482
Enrollment ID: I20040107000636

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Provider NameNkone Adu Antwi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720680606
PECOS PAC ID: 4082002407
Enrollment ID: I20211103002314

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