Provider Demographics
NPI:1609949320
Name:CIOPER, MICHELE ANNE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:ANNE
Last Name:CIOPER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:MICHELE
Other - Middle Name:ANNE
Other - Last Name:MYSLENSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:111 S MORGAN ST UNIT 801
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607
Mailing Address - Country:US
Mailing Address - Phone:773-315-1600
Mailing Address - Fax:
Practice Address - Street 1:1023 WEST BURLINGTON AVENUE
Practice Address - Street 2:
Practice Address - City:WESTERN SPRINGS
Practice Address - State:IL
Practice Address - Zip Code:60558-1578
Practice Address - Country:US
Practice Address - Phone:708-354-0826
Practice Address - Fax:708-354-0867
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health