Provider Information for 1053566422
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Ms. LISA A. WHITTINGHAM BRENNAN M.Ed, LCPC
Sex: Female
NPI: 1053566422
Last Updated: 2022-09-23
Certification Date: 2022-09-23
Certification Date: 2022-09-23
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1053566422 | ||||||||||||
| Enumeration Date | 2008-11-26 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 17 N WABASH AVE STE 515 CHICAGO, IL 60602-4818 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 17 N WABASH AVE STE 515 CHICAGO, IL 60602-4818 United States Phone: 708-557-1980 | Fax: | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|