Provider Demographics
NPI:1659930550
Name:HILL, VIVIAN A
Entity type:Individual
Prefix:
First Name:VIVIAN
Middle Name:A
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3235 VOLLMER RD STE 101
Mailing Address - Street 2:
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422-2069
Mailing Address - Country:US
Mailing Address - Phone:708-367-0578
Mailing Address - Fax:708-367-0578
Practice Address - Street 1:3235 VOLLMER RD STE 101
Practice Address - Street 2:
Practice Address - City:FLOSSMOOR
Practice Address - State:IL
Practice Address - Zip Code:60422-2069
Practice Address - Country:US
Practice Address - Phone:708-367-0578
Practice Address - Fax:708-367-0578
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-13
Last Update Date:2025-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490268451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical