Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Fagbulu

Individual provider Behavior Technician · NPI 1821878687

Michael Fagbulu is a Behavior Technician in Countryside, Illinois. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

5705 Willow Springs Rd
Countryside, IL 60525-3478
Phone: (312) 965-2997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1821878687
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 29, 2023
Last updated in NPPESSeptember 29, 2023
Certification dateSeptember 29, 2023
Mailing address5705 Willow Springs Rd, Countryside, IL 60525-3478

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