Ayodeji Israel Ilelaboye, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

125084982 Issued in IL

Practice address

515 S Western Ave Apt 4
Chicago, IL 60612-3657

Phone

(773) 491-0369

NPI assigned

Jul 22, 2024

Last updated

Jul 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1558199786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S WESTERN AVE APT 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123657",
            "telephone_number": "773-491-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S WESTERN AVE APT 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123657",
            "telephone_number": "773-491-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILELABOYE",
        "first_name": "AYODEJI",
        "middle_name": "ISRAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125084982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilahi Family Medicine
• Ilahi Medicine of Illinois, LLC
• Ile Enterprises LLC
• Julia J Ilecki
• Chinwendu Adaobi Ileka, MD
• Ilera Home Care LLC
• Nadia Hallaj Ilhardt, MD
• Ilie Pavel PC
• Ionut Ilie, M.D.
• Petru V Ilie, LPC (IN PROCESS)

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.

Verify at the official NPI Registry.