Provider Demographics
NPI:1770569402
Name:CIHAK, KARYN B (PSYD)
Entity type:Individual
Prefix:DR
First Name:KARYN
Middle Name:B
Last Name:CIHAK
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 1:250 S NORTHWEST HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-4237
Mailing Address - Country:US
Mailing Address - Phone:224-985-5824
Mailing Address - Fax:
Practice Address - Street 1:250 S NORTHWEST HWY STE 100
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-4237
Practice Address - Country:US
Practice Address - Phone:224-985-5824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071006238103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01618781OtherBC/BS
ILP00015885OtherMEDICARE RAILROAD
IL01618781OtherBC/BS