Healthcare Provider Details

I. General information

NPI: 1124965637
Provider Name (Legal Business Name): RENE LAMPOS LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9031 W 151ST ST
ORLAND PARK IL
60462-6540
US

IV. Provider business mailing address

9320 S 53RD CT
OAK LAWN IL
60453-2425
US

V. Phone/Fax

Practice location:
  • Phone: 331-244-5276
  • Fax:
Mailing address:
  • Phone: 708-275-4564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: