Healthcare Provider Details

I. General information

NPI: 1356929004
Provider Name (Legal Business Name): OLUFUNMILAYO HALIMAT OBISESAN MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: OLUFUNMILAYO HALIMAT ABIRU MD, MPH

II. Dates (important events)

Enumeration Date: 04/01/2021
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5841 S MARYLAND AVE
CHICAGO IL
60637-1443
US

IV. Provider business mailing address

150 HARVESTER DR STE 300
BURR RIDGE IL
60527-5965
US

V. Phone/Fax

Practice location:
  • Phone: 888-824-0200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number0101288904
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036169147
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036169147
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: