Provider Demographics
NPI:1528278728
Name:AROLA, JEAN ADELE (CTRS, BS)
Entity type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:ADELE
Last Name:AROLA
Suffix:
Gender:F
Credentials:CTRS, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15712 REVERE CT APT E
Mailing Address - Street 2:
Mailing Address - City:OAK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60452-6030
Mailing Address - Country:US
Mailing Address - Phone:708-535-7931
Mailing Address - Fax:
Practice Address - Street 1:15712 REVERE CT APT E
Practice Address - Street 2:
Practice Address - City:OAK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60452-6030
Practice Address - Country:US
Practice Address - Phone:708-535-7931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist