Provider Demographics
NPI:1760265052
Name:KARIMU, LOIS (BA, MHP)
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:
Last Name:KARIMU
Suffix:
Gender:F
Credentials:BA, MHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 MONROE AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:IL
Mailing Address - Zip Code:61920-2036
Mailing Address - Country:US
Mailing Address - Phone:217-294-6727
Mailing Address - Fax:
Practice Address - Street 1:701 MONROE AVE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:IL
Practice Address - Zip Code:61920-2036
Practice Address - Country:US
Practice Address - Phone:217-294-6727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health