MEDICARE: DR. PAIGE F ADENUGA PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	071022577	IL

General Provider Information

NPI Number	:	1699620435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAIGE F ADENUGA PHD

Provider Business Mailing Address
First Line	:	18161 MORRIS AVE STE 102
Second Line	:
City	:	HOMEWOOD
State	:	IL
Zip	:	60430-2140
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18161 MORRIS AVE STE 102
Second Line	:
City	:	HOMEWOOD
State	:	IL
Zip	:	60430-2140
Country	:	US
Telephone Number	:	708-349-5433
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	03/05/2026

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