Provider Demographics
NPI:1437630811
Name:PSYCHOLOGY CENTER SCHAUMBURG, LTD.
Entity Type:Organization
Organization Name:PSYCHOLOGY CENTER SCHAUMBURG, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZEESHANALY
Authorized Official - Middle Name:K
Authorized Official - Last Name:RAJANI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:773-905-4455
Mailing Address - Street 1:8815 W GOLF RD APT 12D
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-5703
Mailing Address - Country:US
Mailing Address - Phone:773-905-4455
Mailing Address - Fax:
Practice Address - Street 1:1051 PERIMETER DR STE 512
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-5833
Practice Address - Country:US
Practice Address - Phone:773-905-4455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-23
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071009826103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty