Individual
LISHAN ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4854 W IRVING PARK RD, CHICAGO, IL 60641-2718
(773) 774-4444
Mailing address
6321 N AVONDALE AVE STE 204, CHICAGO, IL 60631-1961
(847) 353-1500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
05/09/2025
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