Provider Demographics
NPI:1295838837
Name:SOBEL, MELISSA RACHEL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:RACHEL
Last Name:SOBEL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:SCHIFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1220 FAIR OAKS AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302
Mailing Address - Country:US
Mailing Address - Phone:773-575-3363
Mailing Address - Fax:
Practice Address - Street 1:125 WINDSOR DRIVE STE 114
Practice Address - Street 2:
Practice Address - City:OAKBROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1634
Practice Address - Country:US
Practice Address - Phone:773-575-3363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071006903103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical