Oluyinka Bolanle Adegboye, MD

Individual provider Active NPI Family Medicine Physician · Chicago, IL

NPI 1992689657 · NPPES record last updated Aug 11, 2025

Key facts

NPI
1992689657
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
125.085152 (IL)
Practice address
1500 S Fairfield Ave
Chicago, IL 60608-1782
Phone
(773) 542-2000
NPI assigned
Aug 4, 2025
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
125.085152ILMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125.085152 IL Yes

Addresses

Primary practice location

1500 S Fairfield Ave
Chicago, IL 60608-1782

Mailing address

1500 S Fairfield Ave
Chicago, IL 60608-1782
Phone (773) 542-2000

Other providers in Chicago, IL

All providers in Chicago, IL · Family Medicine Physician in Illinois

Sources for this page

Verify at the official NPI Registry.