Individual
ABAYOMI NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
621 PLAINFIELD ROAD, WILLOWBROOK, IL 60435
(630) 660-9988
Mailing address
21011 SIEGLE DRIVE, CREST HILL, IL 60435
(630) 660-9988
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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