Adeola Ajoke Adegbemle, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

120.062265 Issued in IL

Practice address

3333 Green Bay Rd
CMS Rosalind Franklin University
North Chicago, IL 60064-3037

Phone

(224) 610-5334

NPI assigned

Oct 16, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

State licenses

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1669725651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 CASE PL",
            "address_2": "APT 1",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023533",
            "telephone_number": "312-607-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 GREEN BAY RD",
            "address_2": "CMS ROSALIND FRANKLIN UNIVERSITY",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643037",
            "telephone_number": "224-610-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEGBEMLE",
        "first_name": "ADEOLA",
        "middle_name": "AJOKE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "120.062265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMPORARY PHYSICIAN LICENSE",
            "identifier": "125.062265",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel M Abraham, LCSW
• Senah Abu-Samra
• Jabeen Naseem Abutalib, M.D.
• Crystal Nicole Ramirez Adamos, PT, DPT
• Faustina Adams
• Abiola Adojutelegan, PA STUDENT
• Amy Adrian
• Agape Home Care Agency LLC
• Shubham Agarwal
• Abd-Al-Rahman Agha Al-Rifai

• Internal Medicine Physician in North Chicago, IL
• Providers in North 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 Oct 16, 2012; 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.