MEDICARE: MRS. WHITNEY HABERMANN OPPENHEIMER M.A.

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	101YP2500X	Professional Counselor	180005635	IL

General Provider Information

NPI Number	:	1548426505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. WHITNEY HABERMANN OPPENHEIMER M.A.

Provider Business Mailing Address
First Line	:	1139 W MONTANA ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-2220
Country	:	US
Telephone Number	:	773-206-8182
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 W BUENA AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-1612
Country	:	US
Telephone Number	:	773-327-6000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2008
Last Update Date	:	07/30/2008

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