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

Funmilayo Tade Adewale, MD

Individual provider Nuclear Medicine Physician · NPI 1275066722

Funmilayo Tade Adewale, MD is a Diagnostic Radiology in Chicago, Illinois. Qualified in 2009, 17 years ago. Practices with Good Samaritan Regional Health Center, a 155-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
17
Licensed in
IL, MO
In the registry since
2017
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1620 W Harrison St
Chicago, IL 60612-3801
Phone: (678) 717-9084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2160 S 1st Ave, Maywood, IL 60153 — (708) 216-3779

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036156228 (IL)
Nuclear Medicine Physician Taxonomy 207U00000X · Licence 036156228 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2023049401 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1275066722
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2017
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Good Samaritan Regional Health Center — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

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