Provider Demographics
NPI:1881715423
Name:ROMONIA BROWN-COOMBS DBA PROJECT ORG DESIGN STUDIO
Entity type:Organization
Organization Name:ROMONIA BROWN-COOMBS DBA PROJECT ORG DESIGN STUDIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRINCIPAL IN CHARGE
Authorized Official - Prefix:MS
Authorized Official - First Name:ROMONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNCOOMBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-221-7171
Mailing Address - Street 1:1401 E 79TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60619-4607
Mailing Address - Country:US
Mailing Address - Phone:773-221-7171
Mailing Address - Fax:773-221-7165
Practice Address - Street 1:1401 E 79TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60619-4607
Practice Address - Country:US
Practice Address - Phone:773-221-7171
Practice Address - Fax:773-221-7165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X, 103TC2200X, 104100000X, 1041C0700X, 163WG0000X, 171R00000X, 222Q00000X, 225100000X, 225X00000X, 235Z00000X, 385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Not Answered163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Single Specialty
Not Answered171R00000XOther Service ProvidersInterpreterGroup - Single Specialty
Not Answered222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Single Specialty
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Not Answered385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, ChildGroup - Single Specialty