AGBOOLA AWOMOLO M.D. – NPI #1073877262
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

AGBOOLA AWOMOLO is a radiologist located in CHICAGO, IL. NPPES has assigned the NPI number 1073877262 to AGBOOLA AWOMOLO on July 02, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AGBOOLA AWOMOLO below.

NPI Profile for
AGBOOLA AWOMOLO

NPI Number
1073877262
Enumeration Date

(about 14 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
AGBOOLA AWOMOLO
Credentials
M.D.
Primary location
4646 N MARINE DR
CHICAGO, IL 60640-5759
Phone: (773) 878-8700 Fax:
Mailing address
15537 INGLESIDE AVE
DOLTON, IL 60419-2759
Phone: (773) 430-1254 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 IL 3694807

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB) - Graduated 2012
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
AGBOOLA AWOMOLO is affiliated with the following medical group(s):
  • HOSPITAL
    • LEWISGALE HOSPITAL MONTGOMERY
      3700 SOUTH MAIN STREET
      BLACKSBURG, VA 24060
    • LEWISGALE MEDICAL CENTER
      1900 ELECTRIC ROAD
      SALEM, VA 24153
    • MERCY MEDICAL CENTER REDDING
      2175 ROSALINE AVE, CLAIRMONT HGTS
      REDDING, CA 96001
    • RESTON HOSPITAL CENTER
      1850 TOWN CENTER PARKWAY
      RESTON, VA 20190
    • ST JOSEPH'S MEDICAL CENTER OF STOCKTON
      1800 N CALIFORNIA ST
      STOCKTON, CA 95204

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