Active NPI
Morayo Ilubanwo
- Endocrinology, Diabetes & Metabolism Physician
- Springfield, IL
National Provider Identifier
1194464727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 125079741
- Practice address
- 751 N Rutledge St RM 1700
Springfield, IL 62702-4968 - Phone
- (217) 545-8000
- Fax
- (217) 545-9125
- NPI assigned
- Jun 1, 2022
- Last updated
- Jan 7, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 125079741 | IL | Primary |
Addresses
Primary practice location
751 N Rutledge St RM 1700
Springfield, IL 62702-4968
Mailing address
PO Box 19648
Springfield, IL 62794-9648
Phone (217) 545-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220729001024 | IL | Order and Referring Only - Internal Medicine | 6709268345 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125079741 | IL | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Trustees of Southern Illinois University | Current | Accepting new patients |
Interoperability endpoints
- morayoilubanwo@siusm.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Carbondale Care A Van
- Rural Health Clinic/Center
- Carbondale, IL
- NPI 1215978127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1194464727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19648",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949648",
"telephone_number": "217-545-8000",
"fax_number": "217-545-9125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 N RUTLEDGE ST RM 1700",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627024968",
"telephone_number": "217-545-8000",
"fax_number": "217-545-9125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILUBANWO",
"first_name": "MORAYO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-01",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IL",
"license": "125079741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
- Illinois Department of Public Health (HIV/AIDS Section)
- Illinois Department of Public Health
- Illinois Diagnostic Imaging, Inc (Springfield MRI & Imaging Center)
- Illinois Pharmacists Management Enterprises, LLC (Illinois Community Pharmacy Enhanced Network and Clinic Services)
- Illinois Spine Center SC (Clem Chiropractic Center)
- Sidra Ilyas, M.D.
- Kevin Andrew Imhoff, D.C.
- Kevin Wayne Imhoff, D.C.
- Impactful Counseling Services, P.L.L.C.
- In-Depth Nonemergency Medical Transportation LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.