Provider Demographics
NPI:1336926955
Name:BEMEL, HAYLEY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:HAYLEY
Middle Name:
Last Name:BEMEL
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 1:747 W CORNELIA AVE APT N2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-2464
Mailing Address - Country:US
Mailing Address - Phone:612-432-6726
Mailing Address - Fax:
Practice Address - Street 1:1 E WACKER DR STE 3550
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-1845
Practice Address - Country:US
Practice Address - Phone:312-291-9723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.011014103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist