ADEWOLE ISAIAH ADELEKE NPI 1508429242

NPI Information

  • NPI: 1508429242
  • Provider Name: ADEWOLE ISAIAH ADELEKE
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Individual
  • Address: 18041 THOMAS LN
    COUNTRY CLUB HILLS, IL
    ZIP 60478
  • Phone: (708) 914-4089

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NPI Details

Adewole Isaiah Adeleke is a community based residential treatment facility, intellectual and/or developmental disabilities in Country Club Hills, IL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. Adewole Isaiah Adeleke NPI is 1508429242. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

18041 THOMAS LN
COUNTRY CLUB HILLS, IL
ZIP 60478-065
Phone: (708) 914-4089

The enumeration date for this NPI number is 4/18/2019 and was last updated on 8/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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