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NPI Code Detail

MEDICARE: LEILA TOSHIE YABIKU LCPC

MEDICARE:   LEILA TOSHIE YABIKU  LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor178.015976IL
2101YM0800XMental Health Counselor180.014167IL

General Provider Information

NPI Number : 1225620289
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEILA TOSHIE YABIKU LCPC
Provider Business Mailing Address
First Line : 2755 N BOSWORTH AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60614-1109
Country : US
Telephone Number : 832-312-4642
Fax Number :
Provider Business Practice Location Address
First Line : 1200 HARGER RD STE 600
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1820
Country : US
Telephone Number : 630-571-5750
Fax Number : 630-571-5751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2021
Last Update Date : 03/03/2022

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Directions to “ LEILA TOSHIE YABIKU LCPC” Practice Location

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