Healthcare Provider Details

I. General information

NPI: 1740105543
Provider Name (Legal Business Name): LISA HABER SAPIR LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3325 N RACINE AVE
CHICAGO IL
60657-3232
US

IV. Provider business mailing address

3325 N RACINE AVE
CHICAGO IL
60657-3232
US

V. Phone/Fax

Practice location:
  • Phone: 847-528-4859
  • Fax:
Mailing address:
  • Phone: 847-528-4859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149-011524
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: