Provider Demographics
NPI:1134905458
Name:RACHEL ZAJICEK LCSW
Entity type:Organization
Organization Name:RACHEL ZAJICEK LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAJICEK
Authorized Official - Suffix:
Authorized Official - Credentials:DSW, LCSW
Authorized Official - Phone:630-423-6195
Mailing Address - Street 1:310 N HAMMES SUITE 201A
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-8127
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:815-768-4254
Practice Address - Street 1:310 N HAMMES SUITE 201A
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-8127
Practice Address - Country:US
Practice Address - Phone:630-423-6195
Practice Address - Fax:815-768-4254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-01
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1205255734OtherNPI