Healthcare Provider Details

I. General information

NPI: 1962324863
Provider Name (Legal Business Name): ALYSSA MARIE RAMOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 N NORTHWEST HWY STE 147
PARK RIDGE IL
60068-3263
US

IV. Provider business mailing address

2527 MAPLE ST
FRANKLIN PARK IL
60131-3414
US

V. Phone/Fax

Practice location:
  • Phone: 847-610-9798
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: