Ayoola Samuel Awofadeju, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036102150 Issued in IL

Practice address

3703 Ballantrae Way
Flossmoor, IL 60422-4316

Phone

(708) 955-6415

NPI assigned

Jun 10, 2006

Last updated

Feb 4, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  Medicare reassignment NPD
• Emergency Professionals of Indiana, P.C.

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  • Fort Wayne, IN
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  Single Specialty

  Medicare reassignment NPD
• Hospitalist Physicians of Indiana, PC

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  • Fort Wayne, IN
  • NPI 1306576277

  Single Specialty

  Medicare reassignment NPD
• North Indiana Emergency Physicians, LLP

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  • La Porte, IN
  • NPI 1144691478

  Single Specialty

  Medicare reassignment NPD
• Hillsboro Area Hospital, Inc.

  • Critical Access Hospital
  • Hillsboro, IL
  • NPI 1194705210
  Medicare reassignment
• Medonc LTD

  • Hematology & Oncology Physician
  • Flossmoor, IL
  • NPI 1346427911

  Single Specialty

  NPD (past) Authorized official
• Hillsboro Area Hospital, Inc.

  dba Hillsboro Area Hospital Primary Care Clinic

  • Rural Health Clinic/Center
  • Hillsboro, IL
  • NPI 1811774771

  Single Specialty

  NPD

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1760423461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 BALLANTRAE WAY",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604224316",
            "telephone_number": "778-708-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 BALLANTRAE WAY",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604224316",
            "telephone_number": "708-955-6415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7040 S Durango Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891132198",
            "country_code": "US",
            "telephone_number": "702-260-1261",
            "fax_number": "702-260-1669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWOFADEJU",
        "first_name": "AYOOLA",
        "middle_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "27155",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036102150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atdental LLC
• Athletico, LTD (Athletico Physical Therapy)
• Awakened Alternatives Enterprises
• Awakened Alternatives Inc (Awakened Alternatives Holdings LLC)
• Awakened Alternatives Inc.
• Joseph Olatunde Ayoola, RN
• Lekha Babu, MD
• Andrea Bacon, M.D.
• Rolanda Bailey-Clark
• Sonya R Baker, LCSW

• Emergency Medicine Physician in Flossmoor, IL
• Providers in Flossmoor, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.