Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MOTUNRAYO ADISA, M.D
ActiveDermatology · KENILWORTH, IL
Registration Details
- NPI Number
- 1326229121
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 20, 2007 (18.41839710349 yrs)
- Last Updated
- Jan 21, 2025
- Licenses
-
036125295 (IL)125-052-665 (IL)036125295 (IL)256848 (MA)
Practice Information
- Address
-
554 GREEN BAY RD STE EKENILWORTH, IL, 600431086Browse IL providers · Browse ZIP 60043
- Phone
- 3124834397
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Dermatology
- Additional Specialty
- Dermatopathology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.