Healthcare Provider Details

I. General information

NPI: 1508720244
Provider Name (Legal Business Name): LOVETT OLATUNJI MSW, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3557 CRESTWOOD LN
CARPENTERSVILLE IL
60110-3465
US

IV. Provider business mailing address

4209 W SHAMROCK LN
MCHENRY IL
60050-8700
US

V. Phone/Fax

Practice location:
  • Phone: 224-431-8646
  • Fax:
Mailing address:
  • Phone: 321-330-9685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number150.114424
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: