MEDICARE: MURWEEN ROSE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	178.020383	IL

General Provider Information

NPI Number	:	1952132094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MURWEEN ROSE

Provider Business Mailing Address
First Line	:	1880 W PALM DR
Second Line	:
City	:	MOUNT PROSPECT
State	:	IL
Zip	:	60056-4495
Country	:	US
Telephone Number	:	872-220-1320
Fax Number	:

Provider Business Practice Location Address
First Line	:	1880 W PALM DR
Second Line	:
City	:	MOUNT PROSPECT
State	:	IL
Zip	:	60056-4495
Country	:	US
Telephone Number	:	872-220-1320
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2024
Last Update Date	:	08/10/2024

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Directions to “ MURWEEN ROSE ” Practice Location

Language	Start Address	Practice Location

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