Albert Olugbenga Adebayo, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019029335 Issued in IL

Practice address

7033 S Merrill Ave
Apt 203
Chicago, IL 60649-2109

Phone

(773) 592-9646

NPI assigned

Apr 8, 2013

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 8, 2013.

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1306289533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 S MERRILL AVE",
            "address_2": "APT 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7033 S MERRILL AVE",
            "address_2": "APT 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492109",
            "telephone_number": "773-592-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEBAYO",
        "first_name": "ALBERT",
        "middle_name": "OLUGBENGA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Addom-Tetteh, M.D.
• Addus Healthcare Inc
• Addus Healthcare Inc
• Bukola Eunice Adeagbo
• Julianne I Adebayo Adegoriolu, PT, DPT
• Favour O Adebayo
• Loni Nicol Adebayo, D.D.S.
• Mujidat M Adebayo, RHIA
• Olamide Adebayo, MPH
• Oluwamuyiwa Winifred Adebayo

• All providers in Chicago, IL
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.