Tobiloba Adewolu, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Barrington, IL
NPI 1245031244 · NPPES record last updated Nov 10, 2025
Key facts
- NPI
- 1245031244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 209031988 (IL)
- Practice address
- 111 Lions Dr Ste 210
Barrington, IL 60010-3175 - Phone
- (630) 428-7890
- NPI assigned
- Mar 24, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Edgewood Clinical Services P.C.
Practice addresses (Care Compare)
111 Lions Dr
Suite 210
Barrington, IL 60010-3175
Phone (888) 428-7890
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251120001170 | IL | Practitioner - Nurse Practitioner | 1254823933 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209031988 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewood Clinical Services, P.C. | Psychiatric/Mental Health | Current |
Accepting new patients |
| Edgewood Clinical Services, P.C. | Past | Accepting new patients | |
| Psychology Specialists LTD | Past | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
111 Lions Dr
Ste 210
Barrington, IL 60010
Phone (847) 304-0044
1500 Eisenhower Ln
Unit E
Lisle, IL 60532
2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165
Interoperability endpoints
- lifestancehealth.tobilobaadewolu@146897.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209031988 | IL | Yes |
Addresses
Primary practice location
111 Lions Dr Ste 210
Barrington, IL 60010-3175
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Other practice location 1
1603 Orrington Ave Ste 600
Evanston, IL 60201-3860
Phone (773) 461-0977
Other practice location 2
1500 Eisenhower LN Ste 900
Lisle, IL 60532-2135
Phone (630) 428-7890
Other providers in Barrington, IL
- Abdulrahman Azmy Abutaleb
- Accelerated Rehabiliation Centers LTD
- Accurate Health Check Lab LLC
- Action Orthopaedic Medical Equipment
- Addus Hospice of Illinois, LLC
- Advanced Care of Illinois, Inc.
- Advanced Surgical Care of Northern Illinois, LTD
- Advocate Health and Hopsitals Corporation
- Advocate Health and Hospitals Corporation
- Affective Counseling Inc
All providers in Barrington, IL · Psychiatric/Mental Health Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.