MRS. ALICE OLUJIMI RN CADC NPI 1912578196

NPI Information

NPI: 1912578196
Provider Name: MRS. ALICE OLUJIMI, RN CADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
15475 S PARK AVE STE 109
SOUTH HOLLAND, IL
ZIP 60473
Phone: (708) 596-5680
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MRS. Alice Olujimi, RN CADC is an addiction (substance use disorder) counselor in South Holland, IL. MRS. Alice Olujimi, RN CADC NPI is 1912578196. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15475 S PARK AVE STE 109
SOUTH HOLLAND, IL
ZIP 60473-377
Phone: (708) 596-5680
Fax: (708) 596-5687

The enumeration date for this NPI number is 7/8/2021 and was last updated on 7/8/2021.

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)	35095	ILLINOIS	Yes

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	IL-10.172M	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: 5/5/2024

NPI Synchronization or Removal

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