Most Relevant Information
Provider Data
| NPI Number: | 1003030370 |
| Provider Name: | GREG ROSEN LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 149.006868 |
Most Important Dates
| Enumeration Date: | 04/11/2007 |
| Last Updated: | 03/03/2011 |
Provider Practice Location
1525 E 53RD ST
#630
CHICAGO
IL
606154557
Practice Location Phone/Fax
| Phone: | 7737528808 |
| Fax: |
Provider Mailing Location
1525 E 53RD ST
#630
CHICAGO
IL
606154557
Provider Mailing Phone/Fax
| Phone: | 7737528808 |
| Fax: |