Individual
DR. DORIS WINEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, L.C.S.W.
Contact information
Practice address
161 E CHICAGO AVE, 42F, CHICAGO, IL 60611-2601
(312) 944-2870
Mailing address
161 E CHICAGO AVE APT 42F, CHICAGO, IL 60611-6677
(312) 944-2870
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001671549
BCBS
IL
Enumeration date
08/09/2006
Last updated
07/08/2007
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