Provider Demographics
NPI:1073050738
Name:ABU, ARIYIKE
Entity Type:Individual
Prefix:
First Name:ARIYIKE
Middle Name:
Last Name:ABU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:OMODOLAPO
Other - Middle Name:
Other - Last Name:ABU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1315 BUTTERFIELD RD STE 208
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-5602
Mailing Address - Country:US
Mailing Address - Phone:630-441-4415
Mailing Address - Fax:
Practice Address - Street 1:1315 BUTTERFIELD RD STE 208
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-5602
Practice Address - Country:US
Practice Address - Phone:630-441-4415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-19
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor