Provider Demographics
NPI:1457578312
Name:SPIELMAN, CHERYL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:
Last Name:SPIELMAN
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 1:1508 CANBURY CT
Mailing Address - Street 2:UNIT D-1
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-6971
Mailing Address - Country:US
Mailing Address - Phone:847-433-2030
Mailing Address - Fax:224-676-0412
Practice Address - Street 1:601 SKOKIE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-2817
Practice Address - Country:US
Practice Address - Phone:847-433-2030
Practice Address - Fax:224-676-0412
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-003964103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL203646Medicare ID - Type UnspecifiedMEDICARE NUMBER