Victoria Moradeyo Adeleke
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · East Hazel Crest, IL
NPI 1043712243 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1043712243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 1909 Cheker SQ
East Hazel Crest, IL 60429-1442 - Phone
- (708) 647-3333
- NPI assigned
- Mar 3, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
1909 Cheker SQ
East Hazel Crest, IL 60429-1442
Mailing address
1909 Cheker SQ
East Hazel Crest, IL 60429-1442
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YA0400X | Medicaid | IL |
Other providers in East Hazel Crest, IL
- Absolutecare Transport LLC
- Oluwakemi Adejumo
- Dana Marie Aikens
- Adejumoke Alimi
- Derrick Arna
- David Banks
- Erin Bays
All providers in East Hazel Crest, IL · Addiction (Substance Use Disorder) Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.