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

Dr. Motunrayo Adisa, MD

Individual provider Dermatopathology Physician · NPI 1326229121

Dr. Motunrayo Adisa, MD is a Dermatology in Kenilworth, Illinois. Qualified in 2007, 19 years ago. Accepts Medicare assignment. Licensed in Illinois and Massachusetts.

Years since qualifying
19
Licensed in
IL, MA
In the registry since
2007
Specialties on file
4
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

554 Green Bay Rd Ste E
Kenilworth, IL 60043-1086
Phone: (312) 483-4397
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036125295 (IL)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 036125295 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125-052-665 (IL)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 256848 (MA)

Record details

NPI number1326229121
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 20, 2007
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount