Provider Demographics
NPI:1558614909
Name:KALE, OLUFUNMILAYO (MSED, LCPC, CADC)
Entity Type:Individual
Prefix:MRS
First Name:OLUFUNMILAYO
Middle Name:
Last Name:KALE
Suffix:
Gender:F
Credentials:MSED, LCPC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 E 75TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60649-3633
Mailing Address - Country:US
Mailing Address - Phone:773-684-8422
Mailing Address - Fax:
Practice Address - Street 1:1950 E 75TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-3633
Practice Address - Country:US
Practice Address - Phone:773-684-8422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.002626101YA0400X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional