Dr Motunrayo Adisa, MD is a medicare enrolled "Dermatology" physician in Kenilworth, Illinois. Her current practice location is
554 Green Bay Rd Ste E, Kenilworth, Illinois. You can reach out to her office (for appointments etc.) via phone at
(312) 483-4397.
Dr Motunrayo Adisa is licensed to practice in Illinois (license number 036125295) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326229121.
Physician's Profile
Full Name | Dr Motunrayo Adisa |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 554 Green Bay Rd Ste E, Kenilworth, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Motunrayo Adisa attended and graduated from in
NPI Data:
- NPI Number: 1326229121
- Provider Enumeration Date: 11/20/2007
- Last Update Date: 01/21/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Motunrayo Adisa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326229121 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ND0900X | Dermatology - Dermatopathology | 036125295 (Illinois) | Secondary |
207R00000X | Internal Medicine | 125-052-665 (Illinois) | Secondary |
207N00000X | Dermatology | 036125295 (Illinois) | Primary |
207ND0900X | Dermatology - Dermatopathology | 256848 (Massachusetts) | Secondary |
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. Dr Motunrayo Adisa 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 |
Dr Motunrayo Adisa, MD 60 E Delaware Pl Ste 1450, Chicago, IL 60611-6559 Ph: (312) 483-4397 | Dr Motunrayo Adisa, MD 554 Green Bay Rd Ste E, Kenilworth, IL 60043-1086 Ph: (312) 483-4397 |
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