Healthcare Provider Details

I. General information

NPI: 1679770721
Provider Name (Legal Business Name): EMILY ANNE ROPARS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

6006 159TH ST BLDG B
OAK FOREST IL
60452-2904
US

IV. Provider business mailing address

5645 W DAKIN ST APT 2
CHICAGO IL
60634-2736
US

V. Phone/Fax

Practice location:
  • Phone: 708-535-0933
  • Fax: 708-614-9435
Mailing address:
  • Phone: 630-696-1898
  • Fax: 708-614-9435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: