Provider Demographics
NPI:1376857342
Name:RAZIUDDIN, TAJWAR (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:TAJWAR
Middle Name:
Last Name:RAZIUDDIN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 W HIGGINS RD STE 1135
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-7239
Mailing Address - Country:US
Mailing Address - Phone:630-635-2189
Mailing Address - Fax:847-524-2224
Practice Address - Street 1:1443 W SCHAUMBURG RD STE 110
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-4000
Practice Address - Country:US
Practice Address - Phone:847-524-2110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-02
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180005705101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional