Ayoola Samuel Awofadeju, MD is a medicare enrolled "Emergency Medicine" physician in Flossmoor, Illinois. His current practice location is
3703 Ballantrae Way, Flossmoor, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 955-6415.
Ayoola Samuel Awofadeju is licensed to practice in Illinois (license number 036102150) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760423461.
Physician's Profile
Full Name | Ayoola Samuel Awofadeju |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 3703 Ballantrae Way, Flossmoor, Illinois |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ayoola Samuel Awofadeju attended and graduated from in
NPI Data:
- NPI Number: 1760423461
- Provider Enumeration Date: 06/10/2006
- Last Update Date: 05/19/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ayoola Samuel Awofadeju such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760423461 | NPI | - | NPPES |
036102150-8 | Medicaid | IL | |
P00163002 | Other | | RAILROAD MEDICARE |
036102150 | Medicaid | IL | |
200800750 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 01063569A (Indiana) | Secondary |
207R00000X | Internal Medicine | 036102150 (Illinois) | Secondary |
207RH0003X | Internal Medicine - Hematology & Oncology | 036102150 (Illinois) | Secondary |
207P00000X | Emergency Medicine | 036102150 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ayoola Samuel Awofadeju is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ayoola Samuel Awofadeju, MD 3703 Ballantrae Way, Flossmoor, IL 60422-4316 Ph: (708) 955-6415 | Ayoola Samuel Awofadeju, MD 3703 Ballantrae Way, Flossmoor, IL 60422-4316 Ph: (708) 955-6415 |
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