Provider Demographics
NPI:1841430402
Name:LEXELL, OKSANA (PSYD)
Entity Type:Individual
Prefix:MS
First Name:OKSANA
Middle Name:
Last Name:LEXELL
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 1:9150 N CRAWFORD AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1700
Mailing Address - Country:US
Mailing Address - Phone:847-329-1390
Mailing Address - Fax:847-677-7760
Practice Address - Street 1:9150 N CRAWFORD AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1700
Practice Address - Country:US
Practice Address - Phone:847-329-1390
Practice Address - Fax:847-677-7760
Is Sole Proprietor?:No
Enumeration Date:2009-02-23
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178005460101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL212131Medicare Oscar/Certification