Provider Demographics
NPI:1558574822
Name:CARMEL, FELICIA LEIGH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:FELICIA
Middle Name:LEIGH
Last Name:CARMEL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2141 W CHARLESTON ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-3301
Mailing Address - Country:US
Mailing Address - Phone:773-394-2881
Mailing Address - Fax:
Practice Address - Street 1:1200 HARGER RD
Practice Address - Street 2:SUITE 505
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1805
Practice Address - Country:US
Practice Address - Phone:630-571-5750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist