Doctor Name: | MRS. ROSEMARIE OBREGON |
NPI Number: | 1063735074 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.P.C. |
License Number: | 180-005685 |
Business Practice Address: | 10537 S Roberts Rd Palos Hills, IL - 604651933 |
Business Phone Number: | 7089745135 |
Business Fax Number: | 7089742498 |
Mailing Address: | 7750 Latrobe Ave, BURBANK |
State: | IL |
Postal Code: | 604591420 |
Phone Number: | 7083075368 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2010 |
NPI Last Update Date: | 03/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180-005685 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |