Provider Demographics
NPI:1265455653
Name:PLOPER, VIVIANA (MA)
Entity Type:Individual
Prefix:
First Name:VIVIANA
Middle Name:
Last Name:PLOPER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:VIVIANA
Other - Middle Name:
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5855 N SHERIDAN RD
Mailing Address - Street 2:APT. 12 C
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-3818
Mailing Address - Country:US
Mailing Address - Phone:773-765-0820
Mailing Address - Fax:773-765-0839
Practice Address - Street 1:4740 N CLARK ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-4689
Practice Address - Country:US
Practice Address - Phone:773-765-0820
Practice Address - Fax:773-765-0839
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor