Provider Demographics
NPI:1932997400
Name:CHAMNESS, DARBY
Entity type:Individual
Prefix:
First Name:DARBY
Middle Name:
Last Name:CHAMNESS
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 1:6119 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-2964
Mailing Address - Country:US
Mailing Address - Phone:847-730-7796
Mailing Address - Fax:
Practice Address - Street 1:4424 N MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-3710
Practice Address - Country:US
Practice Address - Phone:630-291-7825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-25
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker