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

Mrs. Bolanle Omolara Soyannwo Balogun, MD

Individual provider Hospitalist Physician · NPI 1316122468

Mrs. Bolanle Omolara Soyannwo Balogun, MD is an Internal Medicine in Chicago, Illinois. Qualified in 2000, 26 years ago. Practices with Lawndale Christian Health Center, a 123-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
26
Licensed in
IL
In the registry since
2008
Specialties on file
2
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

3860 W Ogden Ave
Chicago, IL 60623-2460
Phone: (872) 588-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125050213 (IL)
Hospitalist Physician Taxonomy 208M00000X · Licence 036119645 (IL)

Record details

NPI number1316122468
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 8, 2008
Last updated in NPPESJune 29, 2023
Certification dateJune 29, 2023

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Lawndale Christian Health Center — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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