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

Mr. Bayo Babatunde Agbolade, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1780198192

Mr. Bayo Babatunde Agbolade, PMHNP-BC is a Nurse Practitioner in Crestwood, Illinois. Qualified in 2021, 5 years ago. Practices with Edgewood Clinical Services PC, a 292-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2017
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

4711 Midlothian Tpke Ste 14
Crestwood, IL 60418-4903
Phone: (779) 910-8196
Fax: (708) 963-0105
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 277004414 (IL)

Record details

NPI number1780198192
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedNovember 21, 2017
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Edgewood Clinical Services P.C. — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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