IndividualActive
Adedotun Ogunsua, M.D.
NPI 1922448661 · Interventional Cardiology Physician · Evergreen Park, IL
Provider details
- NPI number
- 1922448661
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 80966 (MT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3545 W 95th St
Evergreen Park, IL 60805-2135
Phone: (708) 346-5562
Fax: (406) 731-8876
Approximate (ZIP-level) locationGet directions
Mailing address
3545 W 95th St
Evergreen Park, IL 60805-2135
Registry dates
- Enumerated
- 2013-06-26
- Last updated
- 2024-05-02
- Certified
- 2023-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.