Individual
MS. MARTA JEAN VON ROSENVINGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1416 W BELMONT AVE, CHICAGO, IL 60657-0939
(773) 799-8966
Mailing address
1416 W BELMONT AVE, CHICAGO, IL 60657-0939
(773) 799-8966
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150104492
IL
Other
Enumeration date
09/20/2020
Last updated
09/20/2020
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