Mr Ajibola A Obajimi, LCPC | |
1133 E 83rd St Unit 172, Chicago, IL 60619-6400 | |
(312) 305-1007 | |
(773) 207-5335 |
Full Name | Mr Ajibola A Obajimi |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1133 E 83rd St Unit 172, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366936767 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180011550 (Illinois) | Primary |
Entity Name | Foresight Behavioral Health Clinic Of Humboldt Park, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568148344 PECOS PAC ID: 1456704899 Enrollment ID: O20240201000991 |
Mailing Address | Practice Location Address |
---|---|
Mr Ajibola A Obajimi, LCPC 1133 E 83rd St Unit 172, Chicago, IL 60619-6400 Ph: (312) 305-1007 | Mr Ajibola A Obajimi, LCPC 1133 E 83rd St Unit 172, Chicago, IL 60619-6400 Ph: (312) 305-1007 |
Ms. Rachel Leigh Greenspan, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 W Adams St, Chicago, IL 60607 Phone: 312-318-8105 Fax: 312-666-4656 | |
Herbert T Cobbs, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4740 N Clark St, Chicago, IL 60640 Phone: 773-769-0205 Fax: 773-765-0794 | |
Jessica Lynn Schultz, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1640 W Roosevelt Rd, Chicago, IL 60608 Phone: 312-996-7457 | |
Michael N Wilson, Counselor Medicare: Medicare Enrolled Practice Location: 1340 S Damen Ave, Chicago, IL 60608 Phone: 312-738-5926 Fax: 312-666-6978 | |
Mrs. Danielle Brandy Webb, LCSW,CADC Counselor Medicare: Medicare Enrolled Practice Location: 4839 W 47th St, Chicago, IL 60638 Phone: 773-735-2345 Fax: 773-735-4025 | |
Mrs. Camila Salvisberg, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Michigan Ave Ste 1042, Chicago, IL 60611 Phone: 872-529-0607 Fax: 844-601-5947 | |
Ms. Andrea Nicole Good, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1806 N Damen Ave, Chicago, IL 60647 Phone: 773-270-0469 |