Provider Demographics
NPI:1760286074
Name:WHITMAN, MARQUS
Entity type:Individual
Prefix:
First Name:MARQUS
Middle Name:
Last Name:WHITMAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3607 S KING DR APT 2A
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60653-1142
Mailing Address - Country:US
Mailing Address - Phone:980-267-0365
Mailing Address - Fax:
Practice Address - Street 1:201 N SCOVILLE AVE
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-2264
Practice Address - Country:US
Practice Address - Phone:630-618-8717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool