Individual
ANNA LOBANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8311 ROOSEVELT RD, FOREST PARK, IL 60130-2529
(847) 962-8413
(630) 810-9193
Mailing address
8311 ROOSEVELT RD, FOREST PARK, IL 60130-2529
(847) 962-8413
(630) 810-9193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.004417
IL
Other
Enumeration date
08/04/2017
Last updated
07/21/2022
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