Provider Demographics
NPI:1225342470
Name:PAREKH, SEJAL (MAMFT)
Entity Type:Individual
Prefix:
First Name:SEJAL
Middle Name:
Last Name:PAREKH
Suffix:
Gender:F
Credentials:MAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10936 S KEDZIE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60655-2220
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1205 W SHERWIN AVE
Practice Address - Street 2:#311
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626-2263
Practice Address - Country:US
Practice Address - Phone:843-319-3042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist