Provider Demographics
NPI:1922213834
Name:MATTHEWS RASHEED, JANICE (SOCIAL WORKER)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:
Last Name:MATTHEWS RASHEED
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 S SCOVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-2911
Mailing Address - Country:US
Mailing Address - Phone:708-848-1710
Mailing Address - Fax:708-848-1712
Practice Address - Street 1:1111 WESTGATE ST
Practice Address - Street 2:SUITE 116
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1007
Practice Address - Country:US
Practice Address - Phone:708-848-1712
Practice Address - Fax:708-848-1712
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical