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NPISignal

Individual Healthcare Provider

Adeyemi Oludare Fatoki, M.D.

NPI Record: ActivePreventive Medicine — Addiction Medicine
NPI1760449938
Ottawa, Illinois

Provider's NPPES record last updated: September 23, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1760449938
Primary Specialty
Preventive Medicine — Addiction Medicine
Practice Location
Ottawa, Illinois
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 12:52 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Preventive Medicine

    Addiction Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

    Taxonomy code 2083A0300X
  • Family Medicine

    Allopathic & Osteopathic Physicians

    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

    Taxonomy code 207Q00000X

Provider-Reported License Information

Preventive Medicine (Wisconsin)
60259-20
Preventive Medicine (Indiana)
01062968A
Family Medicine (Wisconsin)
60259-20
Preventive Medicine (Arizona)
64981
Preventive Medicine (Illinois)
036084729
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

315 E Mckinley Rd

Ottawa, Illinois 61350-4805

Phone: (815) 434-0228

Additional Practice Location

1725 N Meridian St

Indianapolis, Indiana 46202-1403

Phone: (317) 396-2676

Additional Practice Location

20611 Watertown Rd Ste E

Waukesha, Wisconsin 53186-1871

Phone: (262) 901-4450

Fax: (262) 901-4451

Additional Practice Location

1473 Ring Rd

Calumet City, Illinois 60409-5459

Phone: (708) 862-8156

Fax: (708) 862-8105

Additional Practice Location

8410 W Thomas Rd Ste 124

Phoenix, Arizona 85037-3373

Phone: (480) 417-5289

Fax: (602) 812-7491

Record Information

Enumeration Date
April 28, 2006
Provider's NPPES Record Last Updated
September 23, 2025
Certification Date
September 23, 2025
NPISignal NPPES Dataset
August 2026

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