Healthcare Provider Details

I. General information

NPI: 1437085677
Provider Name (Legal Business Name): LORI ROCKOFF LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

398 THOMPSON BLVD
BUFFALO GROVE IL
60089-1063
US

IV. Provider business mailing address

398 THOMPSON BLVD
BUFFALO GROVE IL
60089-1063
US

V. Phone/Fax

Practice location:
  • Phone: 847-250-7304
  • Fax:
Mailing address:
  • Phone: 847-250-7304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149019617
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: