Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Otangeles Medical of Illinois, Inc

Organization Internal Medicine Physician · NPI 1023934643

Otangeles Medical of Illinois, Inc is an Internal Medicine Physician in Bloomington, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8 Derby Way
Bloomington, IL 61704-2820
Phone: (219) 256-6002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1023934643
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dionne Okafor — President · (219) 256-6002
NPI enumeratedJune 26, 2026
Last updated in NPPESJune 26, 2026
Certification dateJune 27, 2026
Mailing address8 Derby Way, Bloomington, IL 61704-2820

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