MOYO MOSES FABIYI NPI 1932626991

NPI Information

NPI: 1932626991
Provider Name: MOYO MOSES FABIYI
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
500 N MICHIGAN AVE STE 1530
CHICAGO, IL
ZIP 60611
Phone: (847) 868-3435
Get Directions

Moyo Moses Fabiyi is a mental health counselor in Chicago, IL. Moyo Moses Fabiyi NPI is 1932626991. 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:

500 N MICHIGAN AVE STE 1530
CHICAGO, IL
ZIP 60611-758
Phone: (847) 868-3435
Fax: (847) 859-5885

The enumeration date for this NPI number is 8/29/2017 and was last updated on 8/28/2020.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YM0800X	Counselor	Mental Health	178.015275	ILLINOIS	Yes
3	101YM0800X	Counselor	Mental Health			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	376001106007	MEDICAID	ILLINOIS
2	376001106006	MEDICAID	ILLINOIS

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: 4/28/2024

NPI Synchronization or Removal

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