TIMOTHY OMOTAYO ADESANYA
NPI 1467001859
Physician Assistant - Medical in Hilliboro, IL

Q: What is Timothy Adesanya's NPI number?

The NPI number for Timothy Adesanya is 1467001859. It was assigned to this individual provider in the NPPES registry on September 9, 2019.

Q: What is Timothy Adesanya's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Adesanya was last updated on September 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 09, 2019

GRAHAM CORRECTIONAL CENTER, 12078 ILLINOIS RTE 185, HILLIBORO, IL 62049(217) 532-6961 Get Directions Write a Review

NPPES record last updated: September 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Timothy Omotayo Adesanya NPPES

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

TIMOTHY OMOTAYO ADESANYA (NPI 1467001859) is an individual medical provider in Hilliboro, Illinois, licensed in Illinois (085001089) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1467001859

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameTIMOTHY OMOTAYO ADESANYA

Location AddressGRAHAM CORRECTIONAL CENTER, 12078 ILLINOIS RTE 185Hilliboro, IL 62049

Mailing AddressPo Box 512Greenville, IL 62246-0512 · (618) 664-2914

Phone(217) 532-6961

Sole ProprietorNo

Enumeration DateSeptember 9, 2019

✔ NPI 1467001859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IL · 085001089

GRAHAM CORRECTIONAL CENTER, Hilliboro, IL 62049

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Adesanya's NPI number?

The NPI number for Timothy Adesanya is 1467001859. It was assigned to this individual provider in the NPPES registry on September 9, 2019.

Where is Timothy Adesanya located?

Timothy Adesanya practices at Graham Correctional Center 12078 Illinois Rte 185, Hilliboro, IL 62049. The listed phone number is (217) 532-6961.

What is Timothy Adesanya's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Timothy Adesanya was last updated on September 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.