Individual
SCOTT WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2930 S MICHIGAN AVE STE 100, CHICAGO, IL 60616-3484
(773) 819-5504
Mailing address
2930 S MICHIGAN AVE STE 100, CHICAGO, IL 60616-3484
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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