Ufayo Patrick Adeshina, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Loves Park, IL

NPI 1659210367 · NPPES record last updated Mar 27, 2026

Key facts

NPI
1659210367
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
7702 N Alpine Rd
Loves Park, IL 61111-3107
Phone
(815) 971-3397
Fax
(815) 971-9795
NPI assigned
Mar 27, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X IL Yes

Addresses

Primary practice location

7702 N Alpine Rd
Loves Park, IL 61111-3107

Mailing address

4387 Lodgeview PL
Douglasville, GA 30135-8631
Phone (404) 936-2726

Other providers in Loves Park, IL

All providers in Loves Park, IL · Student in an Organized Health Care Education/Training Program in Illinois

Sources for this page

Verify at the official NPI Registry.