Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Adeyemi Oludare Fatoki, MD

Individual provider Addiction Medicine (Preventive Medicine) Physician · NPI 1760449938

Dr. Adeyemi Oludare Fatoki, MD is an Addiction Medicine in Ottawa, Illinois. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1990, 36 years ago. Practices with Cleanslate Medical Group of Indiana LLC, a 61-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Arizona, Illinois, Indiana and Wisconsin.

Years since qualifying
36
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
AZ, IL, IN, WI
In the registry since
2006
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

315 E McKinley Rd
Ottawa, IL 61350-4805
Phone: (815) 434-0228
Fax: (815) 434-0148
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 8410 W Thomas Rd Ste 124, Phoenix, AZ 85037-3373 — (480) 417-5289
  • 1473 Ring Rd, Calumet City, IL 60409-5459 — (708) 862-8156
  • 1725 N Meridian St, Indianapolis, IN 46202-1403 — (317) 396-2676
  • 20611 Watertown Rd Ste E, Waukesha, WI 53186-1871 — (262) 901-4450

Specialties & licences

Addiction Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083A0300X · Licence 60259-20 (WI)
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X · Licence 01062968A (IN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 60259-20 (WI)
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X · Licence 64981 (AZ)
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X · Licence 036084729 (IL)

Record details

NPI number1760449938
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 28, 2006
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyADDICTION MEDICINE
Also practisesPREVENTIVE MEDICINE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1990 (36 years in practice)
Group practice Cleanslate Medical Group Of Indiana Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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