Provider Demographics
NPI:1801023999
Name:RUNNING, CHANCIE
Entity Type:Individual
Prefix:MRS
First Name:CHANCIE
Middle Name:
Last Name:RUNNING
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 1:965 S 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:KANKAKEE
Mailing Address - State:IL
Mailing Address - Zip Code:60901-4815
Mailing Address - Country:US
Mailing Address - Phone:815-933-3768
Mailing Address - Fax:815-933-3768
Practice Address - Street 1:965 S 5TH AVE
Practice Address - Street 2:
Practice Address - City:KANKAKEE
Practice Address - State:IL
Practice Address - Zip Code:60901-4815
Practice Address - Country:US
Practice Address - Phone:815-933-3768
Practice Address - Fax:815-933-3768
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker