Provider Demographics
NPI:1538823018
Name:OZELIS, ROBYN JOY (LCPC)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:JOY
Last Name:OZELIS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:JOY
Other - Last Name:BIGFORD-OZELIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:3S636 LORRAINE AVE
Mailing Address - Street 2:
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60555-3226
Mailing Address - Country:US
Mailing Address - Phone:630-849-3012
Mailing Address - Fax:
Practice Address - Street 1:1000 JORIE BLVD STE 36
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-4501
Practice Address - Country:US
Practice Address - Phone:630-560-1100
Practice Address - Fax:630-487-5626
Is Sole Proprietor?:No
Enumeration Date:2021-10-29
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.016652101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty