Provider Demographics
NPI:1457121824
Name:DOBIS THERAPY SERVICES
Entity Type:Organization
Organization Name:DOBIS THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:DOBIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:708-320-1073
Mailing Address - Street 1:1927 N HUDSON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-0817
Mailing Address - Country:US
Mailing Address - Phone:708-320-1073
Mailing Address - Fax:
Practice Address - Street 1:1927 N HUDSON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-0817
Practice Address - Country:US
Practice Address - Phone:708-320-1073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1851846554OtherNPI 1