Provider Demographics
NPI:1467047118
Name:WEBSTER, RAZIYA (EDD)
Entity Type:Individual
Prefix:DR
First Name:RAZIYA
Middle Name:
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19630 GOVERNORS HWY
Mailing Address - Street 2:
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422-2078
Mailing Address - Country:US
Mailing Address - Phone:773-234-6602
Mailing Address - Fax:
Practice Address - Street 1:19630 GOVERNORS HWY
Practice Address - Street 2:CLS SUITE 8
Practice Address - City:FLOSSMOOR
Practice Address - State:IL
Practice Address - Zip Code:60422-2078
Practice Address - Country:US
Practice Address - Phone:773-234-6602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-04
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker