Provider Demographics
NPI:1063169779
Name:WINNING, ADRIEN (MA)
Entity type:Individual
Prefix:
First Name:ADRIEN
Middle Name:
Last Name:WINNING
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1151 W WRIGHTWOOD AVE APT 1W
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-7963
Mailing Address - Country:US
Mailing Address - Phone:513-488-4765
Mailing Address - Fax:
Practice Address - Street 1:1151 W WRIGHTWOOD AVE APT 1W
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-7963
Practice Address - Country:US
Practice Address - Phone:513-488-4765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program