Provider Demographics
NPI:1760282768
Name:JAROSZ, VICTORIA JUDITH
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:JUDITH
Last Name:JAROSZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3447 RIDGELAND AVE UNIT 303
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-5469
Mailing Address - Country:US
Mailing Address - Phone:708-420-8674
Mailing Address - Fax:
Practice Address - Street 1:10200 GRAND AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN PARK
Practice Address - State:IL
Practice Address - Zip Code:60131-3139
Practice Address - Country:US
Practice Address - Phone:847-773-1537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health