Provider Demographics
NPI:1508664079
Name:ADELEKE, IRENE (DMD)
Entity type:Individual
Prefix:DR
First Name:IRENE
Middle Name:
Last Name:ADELEKE
Suffix:
Gender:
Credentials:DMD
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:708-513-8092
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:708-513-8092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.035758122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist