Individual
MS. ADRIENNE OTKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6601 NORTH AVE, OAK PARK, IL 60302-1084
(773) 510-6551
Mailing address
328 N WALLER AVE, CHICAGO, IL 60644-2248
(773) 261-6551
(773) 261-6551
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.012520
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811197833
—
IL
Enumeration date
07/18/2007
Last updated
03/04/2023
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