Provider Demographics
NPI:1154172476
Name:HARVEY, VORRICIA FECHON
Entity type:Individual
Prefix:
First Name:VORRICIA
Middle Name:FECHON
Last Name:HARVEY
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:JESSE BROWN VA MEDICAL CENTER
Mailing Address - Street 2:1141 SOUTH CALIFORNIA AVENUE
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612
Mailing Address - Country:US
Mailing Address - Phone:312-569-5750
Mailing Address - Fax:
Practice Address - Street 1:JESSE BROWN VA MEDICAL CENTER
Practice Address - Street 2:1141 SOUTH CALIFORNIA AVENUE
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612
Practice Address - Country:US
Practice Address - Phone:312-569-5750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490074181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical