Provider Demographics
NPI:1881849453
Name:WINTER, ROBERTA A (MSW)
Entity Type:Individual
Prefix:MRS
First Name:ROBERTA
Middle Name:A
Last Name:WINTER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9020 KNIGHT AVE
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-5155
Mailing Address - Country:US
Mailing Address - Phone:847-803-8096
Mailing Address - Fax:
Practice Address - Street 1:20 N WACKER DR
Practice Address - Street 2:SUITE 1442
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60606-2806
Practice Address - Country:US
Practice Address - Phone:312-372-4731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490036751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical