Provider Demographics
NPI:1538051560
Name:ROMANEK, CHLOE
Entity type:Individual
Prefix:MR
First Name:CHLOE
Middle Name:
Last Name:ROMANEK
Suffix:
Gender:F
Credentials:
Other - Prefix:MR
Other - First Name:CARSON
Other - Middle Name:
Other - Last Name:ROMANEK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:382 JAMISON DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60139-1726
Mailing Address - Country:US
Mailing Address - Phone:331-806-8920
Mailing Address - Fax:
Practice Address - Street 1:201 E ARMY TRAIL RD
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-2150
Practice Address - Country:US
Practice Address - Phone:630-635-5096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician