NPIMap

Individual provider Active NPI

Funmilayo Tade Adewale, M.D.

  • Diagnostic Radiology Physician
  • Chicago, IL
National Provider Identifier
1275066722
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036156228 Issued in IL
Practice address
1620 W Harrison St
Chicago, IL 60612-3801
Phone
(678) 717-9084
NPI assigned
Apr 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 036156228 IL
Diagnostic Radiology Physician 2085R0202X 2023049401 MO
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 036156228 IL Primary

Addresses

Primary practice location

1620 W Harrison St
Chicago, IL 60612-3801

Mailing address

1620 W Harrison St
Chicago, IL 60612-3801

Other practice location 1

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-3779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IN, IL3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240420000026 MO Practitioner - Diagnostic Radiology 3971851197 Reassigns benefits to 2 organizations
I20240423000464 IN Practitioner - Diagnostic Radiology 3971851197 Reassigns benefits to 1 organization
I20240514000387 IL Practitioner - Diagnostic Radiology 3971851197 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blessing HospitalGroup PAC ID 3072422534, 414 clinicians
Clinical Radiologists SCGroup PAC ID 3476540873, 32 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians

Practice addresses (Care Compare)

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (557) 203-1601

100 Medical Dr
Hannibal, MO 63401-6877
Phone (217) 223-8400

1185 N 1000
Greene County General Hospital
Linton, IN 47441-5282
Phone (812) 847-5212

1201 Pine St
Eldorado, IL 62930-1634
Phone (309) 671-8282

1418 College Dr
Mount Carmel, IL 62863-2638
Phone (309) 671-8282

1900 State St
Chester, IL 62233-1116
Phone (309) 671-8282

2700 W Deyoung St
Marion, IL 62959-4942
Phone (309) 671-8282

3 Ginger Creek VLG
Glen Carbon, IL 62034-3517
Phone (217) 726-8096

300 Health Way Dr
Potosi, MO 63664-1420
Phone (573) 438-5451

303 NW 11TH St
Fairfield, IL 62837-1203
Phone (309) 671-8282

325 Spring St
Red Bud, IL 62278-1105
Phone (309) 671-8282

3333 W Deyoung St
Marion, IL 62959-5884
Phone (309) 671-8282

400 N Pleasant Ave
Centralia, IL 62801-3056
Phone (618) 436-8000

504 Micah Dr
Olney, IL 62450-4720
Phone (309) 671-8282

600 S 13TH St
Pekin, IL 61554-4936
Phone (309) 671-8282

927 Broadway St
Quincy, IL 62301-2719
Phone (217) 224-6423

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036156228ILMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Oct 30, 2025 Accepting new patients
Clinical Radiologists, S.C. Diagnostic Radiology CurrentSince Mar 17, 2024 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Oct 10, 2025 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Good Samaritan Regional Health Center CurrentSince Oct 30, 2025 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Oct 30, 2025 Accepting new patients
Specialists in Medical Imaging SC Diagnostic Radiology CurrentSince Jan 4, 2026 Accepting new patients
Elite Chiropractic Center LLC PastSince Apr 1, 2024 Accepting new patients
Schuyler County Hospital District Past Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

1003 E McCord St
Centralia, IL 62801
Phone (618) 436-5231

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

3 Ginger Creek Vlg
Glen Carbon, IL 62034
Phone (618) 792-2762

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

602 S 42nd St
Ste B
Mount Vernon, IL 62864
Phone (618) 899-3278

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

238 S Congress St
Rushville, IL 62681
Phone (217) 322-4321

3050 Montvale Dr
Ste A
Springfield, IL 62704
Phone (217) 222-9302

1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

100 Medical Dr
Hannibal, MO 63401

300 Health Way Dr
Potosi, MO 63664
Phone (573) 438-2977

Interoperability endpoints

  • Direct secure messaging: funmilayo.tade@hca4.eclinicaldirectplus.com
  • Direct secure messaging: ftade93427@direct.luhs.org

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1275066722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123801",
            "telephone_number": "678-717-9084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 S 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "60153",
            "country_code": "US",
            "telephone_number": "708-216-3779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TADE ADEWALE",
        "first_name": "FUNMILAYO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "IL",
            "license": "036156228",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2023049401",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036156228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.