Provider Demographics
NPI:1003132879
Name:TERCEK, RACHEL CATHERINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:CATHERINE
Last Name:TERCEK
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:CATHERINE
Other - Last Name:LAMPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1516 N. CLEVELAND AVE
Mailing Address - Street 2:UNIT 3
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610
Mailing Address - Country:US
Mailing Address - Phone:847-302-5029
Mailing Address - Fax:
Practice Address - Street 1:1653 W. CONGRESS PARKWAY
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612
Practice Address - Country:US
Practice Address - Phone:847-933-9339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071007865103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical