Provider Demographics
NPI:1942400866
Name:RAMOS, MARY (LCSW, OTR/L)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:LCSW, OTR/L
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:
Other - Last Name:DEL SIGNORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ASW, LSW
Mailing Address - Street 1:600 W OGDEN AVE
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3158
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:600 W OGDEN AVE
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3158
Practice Address - Country:US
Practice Address - Phone:630-325-9630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490136831041C0700X
IL150010042104100000X
IL056009932225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker