Ajibola A Obajimi, LCPC
Counselor, Professional in Chicago, IL. Individual provider (NPI-1).
NPI number1366936767
StatusActive
Last updated in NPPESOct 30, 2020
Details
- NPI
- 1366936767
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ajibola A Obajimi
- Credential
- LCPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 19, 2018
- Certification date
- Oct 30, 2020
- Last updated
- Oct 30, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180011550 | IL | Yes |
Practice location
1133 E 83rd St Unit 172Chicago, IL 60619-6400
Phone 312-305-1007 · Fax 773-207-5335
Mailing address
1133 E 83rd St Unit 172Chicago, IL 60619-6400
Phone 312-305-1007 · Fax 773-207-5335
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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