OLATOKUNBO ADEGBORO MD
NPI 1093100893
Family Medicine in Chicago, IL

Q: What is Olatokunbo Adegboro's NPI number?

The NPI number for Olatokunbo Adegboro is 1093100893. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Q: What is Olatokunbo Adegboro's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 30, 2015PECOS EnrolledAccepts Medicare Assignment

4009 N BROADWAY ST, CHICAGO, IL 60613(773) 388-1600(773) 388-8664 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2021, Jul 10, 2021 (2 updates tracked since 2021).

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About Olatokunbo Adegboro Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLATOKUNBO ADEGBORO MD (NPI 1093100893) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036.156485) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Loyola Gottlieb Memorial Hospital, and maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1093100893

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameOLATOKUNBO ADEGBOROCredential: MD

Location Address4009 N BROADWAY STChicago, IL 60613-2110

Mailing Address700 Adeline StOakland, CA 94607-2608 · (510) 835-9610

Phone(773) 388-1600

Fax(773) 388-8664

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 30, 2015

Last NPPES UpdateJuly 26, 20212 updates tracked since enumeration

NPPES CertifiedJuly 26, 2021

✔ NPI 1093100893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 036.156485✔ Licensed in CA · A146952

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4009 N BROADWAY ST, Chicago, IL 60613

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Secondary Practice Location 1

Location 1700 Adeline StOakland, CA 94607-2608 · Phone (510) 835-9610

Other Identifiers 1

Medicaid036.156485IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Olatokunbo Adegboro Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820340805

PECOS Enrollment IDI20210805000048

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Loyola Gottlieb Memorial Hospital

Acute Care Hospitals · Melrose Park, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140008

Location701 West North AveMelrose Park, IL 60160 · Cook County

Emergency services

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL

4/5 CMS rating

OwnershipProprietary

CMS Certification Number140200

Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County

Emergency services Birthing friendly

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140276

Location2160 S 1st AvenueMaywood, IL 60153 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AISHA AYO WESLEY PA-C

Physician Assistant (Medical)