Healthcare Provider Details

I. General information

NPI: 1093635187
Provider Name (Legal Business Name): DARCY ROZEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 E WASHINGTON ST STE 1012
CHICAGO IL
60602-1710
US

IV. Provider business mailing address

2039 N HONORE ST APT 3F
CHICAGO IL
60614-3919
US

V. Phone/Fax

Practice location:
  • Phone: 312-569-0285
  • Fax:
Mailing address:
  • Phone: 847-565-9122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.023229
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: