MEDICARE: VERNE H. NOPARSTAK, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	071005397	IL

General Provider Information

NPI Number	:	1245417369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERNE H. NOPARSTAK, INC.

Provider Business Mailing Address
First Line	:	4521 N MAGNOLIA AVE APT 3
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-6245
Country	:	US
Telephone Number	:	847-404-1312
Fax Number	:

Provider Business Practice Location Address
First Line	:	1354 W WILSON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-5523
Country	:	US
Telephone Number	:	847-404-1312
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. VERNE HOWARD NOPARSTAK
Credential	:	PSY.D.
Telephone Number	:	847-404-1312

Provider Enumeration Date	:	01/31/2008
Last Update Date	:	12/14/2025

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