Doctor Name: | MR. ROBERT DAVID WHITING |
NPI Number: | 1124247556 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW, LCSW |
License Number: | |
Business Practice Address: | 5320 159th St Suite 100 Oak Forest, IL - 604524705 |
Business Phone Number: | 7083088003 |
Business Fax Number: | 7085701412 |
Mailing Address: | 5320 159th St, Suite 100 OAK FOREST |
State: | IL |
Postal Code: | 604524705 |
Phone Number: | 7083088003 |
Fax Number: | 7085701412 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |