Individual
ANITA WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3665 N BROADWAY ST, CHICAGO, IL 60613-4567
(773) 496-4433
Mailing address
2319 W SCHOOL ST APT 2, CHICAGO, IL 60618-8676
(269) 313-1451
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.112870
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150112870
LSW
IL
Enumeration date
07/18/2023
Last updated
12/12/2023
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