Provider Demographics
NPI:1033129663
Name:SAAFIR, CHERYL M (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:M
Last Name:SAAFIR
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 38
Mailing Address - Street 2:
Mailing Address - City:SOUTH HOLLAND
Mailing Address - State:IL
Mailing Address - Zip Code:60473-0038
Mailing Address - Country:US
Mailing Address - Phone:708-557-8805
Mailing Address - Fax:
Practice Address - Street 1:16555 LUELLA AVE
Practice Address - Street 2:
Practice Address - City:SOUTH HOLLAND
Practice Address - State:IL
Practice Address - Zip Code:60473-2673
Practice Address - Country:US
Practice Address - Phone:708-557-8805
Practice Address - Fax:708-596-5622
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071006399103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
01632797OtherBLUECROSS BLUE SHIELD
01632797OtherBLUECROSS BLUE SHIELD