Provider Demographics
NPI:1225541311
Name:SYTSMA-RAMOS, RACHAEL S (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:S
Last Name:SYTSMA-RAMOS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9711 SKOKIE BLVD STE H
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-1384
Mailing Address - Country:US
Mailing Address - Phone:224-307-4850
Mailing Address - Fax:773-669-5915
Practice Address - Street 1:9711 SKOKIE BLVD STE H
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-1384
Practice Address - Country:US
Practice Address - Phone:224-307-4850
Practice Address - Fax:773-669-5915
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-10
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.009651103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical