Provider Demographics
NPI:1255742805
Name:SAIGAL, SEEMA (PHD)
Entity type:Individual
Prefix:DR
First Name:SEEMA
Middle Name:
Last Name:SAIGAL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2422 W MOFFAT ST # 2S
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-4311
Mailing Address - Country:US
Mailing Address - Phone:847-877-1216
Mailing Address - Fax:
Practice Address - Street 1:17 N DEARBORN ST FL 15
Practice Address - Street 2:ADLER
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-4310
Practice Address - Country:US
Practice Address - Phone:312-566-7453
Practice Address - Fax:312-662-4099
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-16
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.008497103TB0200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral