BREON ROSE NPI 1639605827

NPI Information

  • NPI: 1639605827
  • Provider Name: BREON ROSE
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1427 W FARWELL AVE
    3S
    CHICAGO, IL
    ZIP 60626
  • Phone: (517) 944-5250

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NPI Details

Breon Rose is a mental health counselor in Chicago, IL. Breon Rose NPI is 1639605827. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1427 W FARWELL AVE
3S
CHICAGO, IL
ZIP 60626-426
Phone: (517) 944-5250

The enumeration date for this NPI number is 5/7/2017 and was last updated on 5/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health178.012335ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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