Provider Demographics
NPI:1902957889
Name:JOBALIA, SHILPA B (MS LMFT)
Entity Type:Individual
Prefix:MS
First Name:SHILPA
Middle Name:B
Last Name:JOBALIA
Suffix:
Gender:F
Credentials:MS LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1431 HUNTER CIR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-8383
Mailing Address - Country:US
Mailing Address - Phone:630-415-2088
Mailing Address - Fax:
Practice Address - Street 1:120 W EASTMAN ST STE 305
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-5950
Practice Address - Country:US
Practice Address - Phone:630-415-2088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0071649594OtherBCBS PROVIDER NUMBER