Provider Demographics
NPI:1285964742
Name:NSIMBI, JOHN AUGUSTINE (MA)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:AUGUSTINE
Last Name:NSIMBI
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1820 RIDGE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-1748
Mailing Address - Country:US
Mailing Address - Phone:773-758-2901
Mailing Address - Fax:708-585-6222
Practice Address - Street 1:1820 RIDGE RD STE 200
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:IL
Practice Address - Zip Code:60430-1748
Practice Address - Country:US
Practice Address - Phone:773-758-2901
Practice Address - Fax:708-585-6222
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-06
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional