Most Relevant Information
Provider Data
| NPI Number: | 1003478868 |
| Provider Name: | MA JENZEN ROMANO OCONNOR |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/02/2019 |
| Last Updated: | 07/02/2019 |
Provider Practice Location
4031 W DAYTON ST
MCHENRY
IL
600508377
Practice Location Phone/Fax
| Phone: | 8153441230 |
| Fax: |
Provider Mailing Location
4031 W DAYTON ST
MCHENRY
IL
600508377
Provider Mailing Phone/Fax
| Phone: | 8153441230 |
| Fax: |