Provider Demographics
NPI:1508655416
Name:ROMANOFF GROUP
Entity type:Organization
Organization Name:ROMANOFF GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMANOFF
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:262-455-3322
Mailing Address - Street 1:764 OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-1225
Mailing Address - Country:US
Mailing Address - Phone:262-455-3322
Mailing Address - Fax:
Practice Address - Street 1:1300 IROQUOIS AVE STE 160
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-1143
Practice Address - Country:US
Practice Address - Phone:630-614-1164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty