Provider Demographics
NPI:1922897073
Name:ROZANSKI, AGNIESZKA LIDIA (MA)
Entity type:Individual
Prefix:MRS
First Name:AGNIESZKA
Middle Name:LIDIA
Last Name:ROZANSKI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12531 SEDGWICK DR
Mailing Address - Street 2:
Mailing Address - City:PALOS PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60464-2560
Mailing Address - Country:US
Mailing Address - Phone:779-324-0979
Mailing Address - Fax:
Practice Address - Street 1:9944 S ROBERTS RD STE 202
Practice Address - Street 2:
Practice Address - City:PALOS HILLS
Practice Address - State:IL
Practice Address - Zip Code:60465-1558
Practice Address - Country:US
Practice Address - Phone:708-586-9050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health