Individual
ANTHONY OLUJIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
15475 S PARK AVE STE 109, SOUTH HOLLAND, IL 60473-1377
(708) 596-5680
(708) 596-5687
Mailing address
15475 S PARK AVE STE 109, SOUTH HOLLAND, IL 60473-1377
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IL-10172-M
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CA52120001A
—
IL
Enumeration date
12/07/2017
Last updated
07/08/2021
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