Healthcare Provider Details

I. General information

NPI: 1891549762
Provider Name (Legal Business Name): OLAOLUWA MICHAEL ADEYEMI M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2024
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ADULT MEDICINE CENTER, 4220 W. 95TH STREET SUITE 200
OAK LAWN IL
60453
US

IV. Provider business mailing address

ADULT MEDICINE CENTER, 4220 W. 95TH STREET SUITE 200
OAK LAWN IL
60453
US

V. Phone/Fax

Practice location:
  • Phone: 708-398-0287
  • Fax: 708-684-0281
Mailing address:
  • Phone: 708-398-0287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125085021
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: