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Ayoola Samuel Awofadeju, MD

Individual provider Active NPI Emergency Medicine Physician · Flossmoor, IL

NPI 1760423461 · NPPES record last updated Feb 4, 2026

Key facts

NPI
1760423461
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
036102150 (IL)
Practice address
3703 Ballantrae Way
Flossmoor, IL 60422-4316
Phone
(708) 955-6415
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 28

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 28

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IL, IN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20031203000577 IL Practitioner - Internal Medicine
Practitioner - Emergency Medicine		 3870497290 Reassigns benefits to 7 organizations
I20071116000470 IN Practitioner - Emergency Medicine 3870497290 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27155NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Central Emergency Physicians, LLP Single Specialty Current
since Oct 1, 2016		 Accepting new patients
North Indiana Emergency Physicians, LLP Single Specialty Current
since Sep 1, 2017		 Accepting new patients
Harvey Emergency Physicians, PLLC Single Specialty Current
since Mar 30, 2020		 Accepting new patients
Memorial Hospital Association Current
since Apr 1, 2024		 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Hillsboro Area Hospital, Inc. Single Specialty Current Accepting new patients
Emergency Professionals of Indiana, P.C. Single Specialty Current
since Jan 5, 2023		 Accepting new patients
Hillsboro Area Hospital, Inc. Single Specialty Current
since Mar 1, 2026		 Accepting new patients
Hospitalist Physicians of Indiana, PC Single Specialty Current
since Jan 5, 2023		 Accepting new patients
Heartland Emergency Physicians PLLC Single Specialty Current
since Oct 9, 2025		 Accepting new patients
Alton-Griffin Emergency Group PC Single Specialty Current
since Jul 12, 2021		 Accepting new patients
Memorial Hospital Association Single Specialty Current Accepting new patients
Memorial Hospital Association Single Specialty Current
since Apr 1, 2024		 Accepting new patients
App of Illinois Ed PLLC Single Specialty Current
since Nov 15, 2017		 Accepting new patients
Emergency Medical Specialists, II, S.C. Single Specialty Past Accepting new patients
Illiana Emergency Physicians LLP Single Specialty Past Accepting new patients
Shemauger Emergency Physicians LLC Single Specialty Past Accepting new patients
Emergency Medical Specialist, S.C Single Specialty Past Accepting new patients
Illiana Emergency Physicians, LLP Single Specialty Past Accepting new patients
Kennekuk Emergency Physicians LLC Single Specialty Past
since Oct 1, 2023		 Accepting new patients
Midway Emergency Physicians, LLC Single Specialty Past Accepting new patients
Cottage Emergency Physicians LLC Single Specialty Past Accepting new patients
Urgent Care Nevada, LLC Single Specialty Past Accepting new patients
Mid State Logansport Ed Physicians Single Specialty Past Accepting new patients
Medonc LTD Single Specialty Past
since Nov 26, 2003		 Accepting new patients
Crossroads Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Wabash Em I Medical Services PC Single Specialty Past Accepting new patients

Locations

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

1600 Torrence Ave
Calumet City, IL 60409
Phone (708) 730-1300

1454 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-3131

75 Remit Dr
Ste 6065
Chicago, IL 60675

8012 S Crandon Ave
Chicago, IL 60617
Phone (773) 356-5000

812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000

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

1200 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-4154

1050 Red Oak Ln
Lindenhurst, IL 60046
Phone (847) 356-4700

525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611

1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

1900 Roosevelt Rd
Valparaiso, IN 46383
Phone (219) 263-4900

1900 Roosevelt Rd
#2000
Valparaiso, IN 46383
Phone (219) 263-4900

328 Heymann Blvd
Ste 100
Lafayette, LA 70503
Phone (337) 581-6920

Interoperability endpoints

  • Direct secure messaging: aawofadeju1061714@direct.unitypoint.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207R00000X 27155 NV
Emergency Medicine Physician 207P00000X 036102150 IL Yes

Addresses

Primary practice location

3703 Ballantrae Way
Flossmoor, IL 60422-4316

Mailing address

3703 Ballantrae Way
Flossmoor, IL 60422-4316
Phone (778) 708-4660

Other practice location 1

7040 S Durango Dr Ste 105
Las Vegas, NV 89113-2198
Phone (702) 260-1261

Other identifiers

IdentifierTypeStateIssuer
P00163002OtherRAILROAD MEDICARE
036102150MedicaidIL
036102150-8MedicaidIL

Other providers in Flossmoor, IL

All providers in Flossmoor, IL · Emergency Medicine Physician in Illinois

Sources for this page

Verify at the official NPI Registry.