Provider Demographics
NPI:1083835656
Name:ROONEY, MADELEINE (MSW)
Entity Type:Individual
Prefix:MS
First Name:MADELEINE
Middle Name:
Last Name:ROONEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:734 W. WILLOW ST.
Mailing Address - Street 2:UNIT 3
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-5151
Mailing Address - Country:US
Mailing Address - Phone:312-664-3334
Mailing Address - Fax:
Practice Address - Street 1:710 S. PAULINA ST.
Practice Address - Street 2:SUITE 432
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3814
Practice Address - Country:US
Practice Address - Phone:312-942-6995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker