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NPI Code Detail

MEDICARE: VIVIANA PLOPER MA

MEDICARE: VIVIANA PLOPER MA
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
1101Y00000XCounselorIL

General Provider Information

NPI Number : 1265455653
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIVIANA PLOPER MA
Provider Business Mailing Address
First Line : 5855 N SHERIDAN RD
Second Line : APT. 12 C
City : CHICAGO
State : IL
Zip : 60660-3818
Country : US
Telephone Number : 773-765-0820
Fax Number : 773-765-0839
Provider Business Practice Location Address
First Line : 4740 N CLARK ST
Second Line :
City : CHICAGO
State : IL
Zip : 60640-4689
Country : US
Telephone Number : 773-765-0820
Fax Number : 773-765-0839
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 12/07/2007

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Directions to “ VIVIANA PLOPER MA” Practice Location

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