Provider Demographics
NPI:1124290614
Name:SAHTOUT, RACHEL (LCSW)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:SAHTOUT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:NAROW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 7174
Mailing Address - Street 2:
Mailing Address - City:ROMEOVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60446-7074
Mailing Address - Country:US
Mailing Address - Phone:815-325-4977
Mailing Address - Fax:
Practice Address - Street 1:18161 MORRIS AVE STE 102
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:IL
Practice Address - Zip Code:60430-2140
Practice Address - Country:US
Practice Address - Phone:708-349-5433
Practice Address - Fax:708-349-5433
Is Sole Proprietor?:No
Enumeration Date:2008-03-25
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490129331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK50946Medicare PIN