Othella Banner, LCPC
NPI 1386083665 · on the registry since 2013
Practice
- Address
- 641 W 63rd St
Chicago, IL 60621 - Phone
- (312) 747-7496
- Organisation at this address
- City Of Chicago
City Of Chicago
Cardinal Health 132, Llc
Heartland Health Outreach
Howard Brown Health CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 32
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-06-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois