Rose, Laureen Ann

Rose, Laureen Ann is an sole proprietor health care provider with primary practice located at 2604 Dempster St Suite 306, Park Ridge IL 60068-8412. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rose, Laureen Ann can be contacted via phone (847) 827-8297.

Contact Information

Primary practice address
2604 Dempster St Suite 306 Park Ridge IL 60068-8412
Fax: (847) 827-8474
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1558498311
LBN Legal business name Rose, Laureen Ann
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558498311 NPPES
Illinois Other 1608239 BLUE CROSS BLUE SHIELD

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