Healthcare Provider Details
I. General information
NPI: 1295664415
Provider Name (Legal Business Name): AKINOSUN AESTHETICS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1S660 MIDWEST RD
OAKBROOK TERRACE IL
60181-4458
US
IV. Provider business mailing address
2580 ADAMSWAY DR
AURORA IL
60502-9082
US
V. Phone/Fax
- Phone: 630-478-0880
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207YS0123X |
| Taxonomy | Facial Plastic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MORIYIKE
AKINOSUN
Title or Position: PRESIDENT
Credential: MD
Phone: 630-803-0287