Provider Demographics
NPI:1093698300
Name:MARYEM, ROMANA
Entity type:Individual
Prefix:
First Name:ROMANA
Middle Name:
Last Name:MARYEM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1S443 SUMMIT AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-3972
Mailing Address - Country:US
Mailing Address - Phone:312-871-1430
Mailing Address - Fax:
Practice Address - Street 1:1S443 SUMMIT AVE STE 201
Practice Address - Street 2:
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-3972
Practice Address - Country:US
Practice Address - Phone:630-613-9865
Practice Address - Fax:630-613-9800
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-26
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor