Individual
ADEWOLE ISAIAH ADELEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18041 THOMAS LN, COUNTRY CLUB HILLS, IL 60478-5065
(708) 914-4089
Mailing address
3050 BOB O LINK RD, FLOSSMOOR, IL 60422-1420
(708) 351-9137
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
08/30/2024
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