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ANTHONY OLUJIMI CADC
NPI 1114432564
Counselor - Mental Health in South Holland, IL

Active since December 07, 2017
15475 S PARK AVE STE 109, SOUTH HOLLAND, IL 60473(708) 596-5680(708) 596-5687 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2021, Dec 7, 2017 (2 updates tracked since 2017).

About Anthony Olujimi Cadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY OLUJIMI CADC (NPI 1114432564) is an individual mental health provider in South Holland, Illinois, licensed in Illinois (IL-10172-M) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1114432564
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameANTHONY OLUJIMICredential: CADC
Location Address15475 S PARK AVE STE 109South Holland, IL 60473-1377
Mailing Address15475 S Park Ave Ste 109South Holland, IL 60473-1377
Phone(708) 596-5680
Fax(708) 596-5687
Sole ProprietorNo
Enumeration DateDecember 7, 2017
Last NPPES UpdateJuly 8, 20212 updates tracked since enumeration
NPPES CertifiedJuly 8, 2021
✔ NPI 1114432564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · IL-10172-M
15475 S PARK AVE STE 109, South Holland, IL 60473
Open in Google Maps ↗

Other Identifiers 1

MedicaidCA52120001AIL

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ICAN COMMUNITY SERVICES INC. NFP
Clinic/Center (Mental Health (Including Community Mental Health Center))
15475 S PARK AVE STE 109
SOUTH HOLLAND, IL 60473
Cook County (708) 596-5680
AMAZING GRACE HEALTHCARE SERVICES
Nursing Care
15475 S PARK AVE STE 109
SOUTH HOLLAND, IL 60473
Cook County (312) 550-6957
MRS. ALICE OLUJIMI RN CADC
Counselor (Addiction (Substance Use Disorder))
15475 S PARK AVE STE 109
SOUTH HOLLAND, IL 60473
Cook County (708) 596-5680

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Olujimi's NPI number?

The NPI number for Anthony Olujimi is 1114432564. It was assigned to this individual provider in the NPPES registry on December 7, 2017.

Where is Anthony Olujimi located?

Anthony Olujimi practices at 15475 S Park Ave Ste 109, South Holland, IL 60473. The listed phone number is (708) 596-5680.

What is Anthony Olujimi's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Anthony Olujimi was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.