ABIOLA ADOJUTELEGAN PA STUDENT
NPI 1255134813
Physician Assistant in North Chicago, IL

Q: What is Abiola Adojutelegan's NPI number?

The NPI number for Abiola Adojutelegan is 1255134813. It was assigned to this individual provider in the NPPES registry on March 29, 2025.

Q: What is Abiola Adojutelegan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since March 29, 2025PECOS EnrolledAccepts Medicare Assignment

3333 GREEN BAY RD, NORTH CHICAGO, IL 60064(847) 578-3000 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 11, 2025, Mar 29, 2025 (2 updates tracked since 2025).

On this page

About Abiola Adojutelegan Pa Student NPPES

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

ABIOLA ADOJUTELEGAN PA STUDENT (NPI 1255134813) is an individual physician assistant in North Chicago, Illinois, licensed in Illinois (085.011453) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1255134813

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameABIOLA ADOJUTELEGANCredential: PA STUDENT

Location Address3333 GREEN BAY RDNorth Chicago, IL 60064-3037

Mailing Address5639 N Central AveChicago, IL 60646-6453 · (872) 226-0124

Phone(847) 578-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 29, 2025

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2025

✔ NPI 1255134813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085.011453

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3333 GREEN BAY RD, North Chicago, IL 60064

Open in Google Maps ↗

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

Abiola Adojutelegan Pa Student 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 ID4385122357

PECOS Enrollment IDI20260130002719

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60064 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

Most-billed visit code 99213

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.

ANATOLIY PYSLAR

Psychiatry & Neurology (Psychiatry)