Provider Demographics
NPI:1245339654
Name:ROMEO, MARY ANN (MSSW)
Entity type:Individual
Prefix:MS
First Name:MARY ANN
Middle Name:
Last Name:ROMEO
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5TH AVE & ROOSEVELT RD
Mailing Address - Street 2:BUILDING 18
Mailing Address - City:HINES
Mailing Address - State:IL
Mailing Address - Zip Code:60141-5000
Mailing Address - Country:US
Mailing Address - Phone:708-202-8413
Mailing Address - Fax:708-202-8425
Practice Address - Street 1:5TH AVE & ROOSEVELT RD
Practice Address - Street 2:BUILDING 18
Practice Address - City:HINES
Practice Address - State:IL
Practice Address - Zip Code:60141-5000
Practice Address - Country:US
Practice Address - Phone:708-202-8413
Practice Address - Fax:708-202-8425
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker