IndividualActive
Osaretin Idusuyi, MD
NPI 1417944091 · Orthopaedic Foot and Ankle Surgery Physician · Quincy, IL
Provider details
- NPI number
- 1417944091
- Entity type
- Individual
- Primary specialty
- Orthopaedic Foot and Ankle Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036095609 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1118 Hampshire St
Quincy, IL 62301-3027
Phone: (217) 222-6550
Fax: (217) 277-2253
Approximate (ZIP-level) locationGet directions
Mailing address
1118 Hampshire St
Quincy, IL 62301-3027
Registry dates
- Enumerated
- 2005-09-29
- Last updated
- 2024-08-19
- Certified
- 2024-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.