Provider Demographics
NPI:1902914450
Name:ROHR, DOREEN THERESA (LCSW, CADC)
Entity Type:Individual
Prefix:MS
First Name:DOREEN
Middle Name:THERESA
Last Name:ROHR
Suffix:
Gender:F
Credentials:LCSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ILLINOIS BLVD
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60194-3314
Mailing Address - Country:US
Mailing Address - Phone:847-884-6212
Mailing Address - Fax:847-884-6687
Practice Address - Street 1:1 ILLINOIS BLVD
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60194-3314
Practice Address - Country:US
Practice Address - Phone:847-884-6212
Practice Address - Fax:847-884-6687
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical