Provider Demographics
NPI:1225824568
Name:VILLALOBOS, DOVIE JEAN (LSW)
Entity type:Individual
Prefix:MRS
First Name:DOVIE
Middle Name:JEAN
Last Name:VILLALOBOS
Suffix:
Gender:
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 HAYES AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-1706
Mailing Address - Country:US
Mailing Address - Phone:708-846-7048
Mailing Address - Fax:708-846-7048
Practice Address - Street 1:708 HAYES AVE
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-1706
Practice Address - Country:US
Practice Address - Phone:708-846-7048
Practice Address - Fax:708-846-7048
Is Sole Proprietor?:No
Enumeration Date:2025-04-15
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150116382104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker