Organization Active NPI

Aoba Enterprises, Inc

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1588398341
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
AOBA ENTERPRISES, INC
Practice address
2255 E 75TH St Ste a
Chicago, IL 60649-3228
Phone
(773) 768-5785
NPI assigned
Jul 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Leslie Levy
Title
Director of Project Development
Phone
(773) 719-7601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2255 E 75TH St Ste a
Chicago, IL 60649-3228

Mailing address

2255 E 75TH St Ste a
Chicago, IL 60649-3228

National Provider Directory

National Provider Directory

Locations

2255 E 75th St
Ste A
Chicago, IL 60649
Phone (773) 768-5785

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1588398341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 E 75TH ST STE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 E 75TH ST STE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493228",
            "telephone_number": "773-768-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AOBA ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "DIRECTOR OF PROJECT DEVELOPMENT",
        "authorized_official_telephone_number": "773-719-7601",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.