Doctor profile · Federal record
Dr. Olatokunbo Adegboro, MD
Family Medicine Physician (CMS: Family Practice) · Family Medicine Physician · Chicago, IL
- NPI 1093100893
- Accepts Medicare
- 11 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
4009 N Broadway St
Chicago, IL 606132110
(773) 388-1600
fax (773) 388-8664 - Additional location
-
700 Adeline St
Oakland, CA 946072608
(510) 835-9610 - Mailing address
-
700 Adeline St
Oakland, CA 946072608
Credentials & registration
- NPI registered
- March 2015 — 11 yrs on file
- Profile last updated
- July 26, 2021
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (2)
- Illinois #036.156485 · California #A146952
- Medicaid
- IL #036.156485
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1093100893. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$24
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ViiV Healthcare Company | 1 | $23.52 |
By nature of payment
Frequently asked questions
What is Dr. Olatokunbo Adegboro's medical specialty?
Dr. Olatokunbo Adegboro practices Family Medicine Physician in Chicago, IL.
Where does Dr. Olatokunbo Adegboro practice?
Dr. Olatokunbo Adegboro practices at 4009 N Broadway St, Chicago, IL 606132110. Office phone: 7733881600.
What is Dr. Olatokunbo Adegboro's NPI?
Dr. Olatokunbo Adegboro's National Provider Identifier (NPI) is 1093100893, issued by NPPES.
Does Dr. Olatokunbo Adegboro accept Medicare assignment?
Yes. Dr. Olatokunbo Adegboro accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.