Healthcare Provider Details

I. General information

NPI: 1285760249
Provider Name (Legal Business Name): HOBERT RODGERS OGILVIE LCPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 S WASHINGTON ST SUITE 324
NAPERVILLE IL
60540-6603
US

IV. Provider business mailing address

640 S WASHINGTON ST SUITE 324
NAPERVILLE IL
60540-6603
US

V. Phone/Fax

Practice location:
  • Phone: 708-448-0884
  • Fax: 708-448-0594
Mailing address:
  • Phone: 708-448-0884
  • Fax: 708-448-0594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: