Provider Demographics
NPI:1285350470
Name:LEILA YABIKU LCPC PLLC
Entity type:Organization
Organization Name:LEILA YABIKU LCPC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LEILA
Authorized Official - Middle Name:TOSHIE
Authorized Official - Last Name:YABIKU
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:773-219-2152
Mailing Address - Street 1:2755 N BOSWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-1109
Mailing Address - Country:US
Mailing Address - Phone:832-312-4642
Mailing Address - Fax:
Practice Address - Street 1:2217 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-3717
Practice Address - Country:US
Practice Address - Phone:773-219-2152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-18
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center