Provider Demographics
NPI:1508429242
Name:ADELEKE, ISAIAH ADEWOLE
Entity Type:Individual
Prefix:
First Name:ISAIAH
Middle Name:ADEWOLE
Last Name:ADELEKE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 BOB O LINK RD
Mailing Address - Street 2:
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422-1420
Mailing Address - Country:US
Mailing Address - Phone:708-351-9137
Mailing Address - Fax:
Practice Address - Street 1:3050 BOB O LINK RD
Practice Address - Street 2:
Practice Address - City:FLOSSMOOR
Practice Address - State:IL
Practice Address - Zip Code:60422-1420
Practice Address - Country:US
Practice Address - Phone:708-351-9137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278P4000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPatient Transport