Provider Demographics
NPI:1225583404
Name:ALOMARI, NAWAL (MA LPC)
Entity Type:Individual
Prefix:
First Name:NAWAL
Middle Name:
Last Name:ALOMARI
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10536 RACHEL LN
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-1364
Mailing Address - Country:US
Mailing Address - Phone:773-573-2053
Mailing Address - Fax:
Practice Address - Street 1:3660 N LAKE SHORE DR
Practice Address - Street 2:SUITE 210
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-5300
Practice Address - Country:US
Practice Address - Phone:773-683-1731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178012217101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional