Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OSARETIN B IDUSUYI, MD
ActiveOSARETIN B IDUSUYI, MD is a Sports Medicine (Orthopaedic) healthcare provider located in QUINCY, Illinois. NPI 1417944091 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · QUINCY, IL
Registration Details
- NPI Number
- 1417944091
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2005 (20.919516892684 yrs)
- Last Updated
- Aug 19, 2024
- Licenses
-
036095609 (IL)036095609 (IL)
Practice Information
- Address
-
1118 HAMPSHIRE STQUINCY, IL, 623013027Browse IL providers · Browse ZIP 62301
- Phone
- 2172226550
- Fax
- 2172772253
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XX0004X
- Additional Specialty
- Sports Medicine (Orthopaedic)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.