Healthcare Provider Details

I. General information

NPI: 1942698980
Provider Name (Legal Business Name): ADEOLA A OLADIPO APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2014
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 N JANE DR
ELGIN IL
60123-5118
US

IV. Provider business mailing address

6348 N MILWAUKEE AVE STE 390
CHICAGO IL
60646-3728
US

V. Phone/Fax

Practice location:
  • Phone: 847-235-6130
  • Fax: 847-235-6135
Mailing address:
  • Phone: 847-235-6130
  • Fax: 847-235-6135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209012364
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number277000444
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: