Provider Demographics
NPI:1811077860
Name:MICHAELS, RANA V (PSYD)
Entity type:Individual
Prefix:DR
First Name:RANA
Middle Name:V
Last Name:MICHAELS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 E NORTHWEST HWY
Mailing Address - Street 2:STE 500
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60074-6511
Mailing Address - Country:US
Mailing Address - Phone:847-240-2211
Mailing Address - Fax:847-240-2418
Practice Address - Street 1:1701 E. WOODFIELD ROAD
Practice Address - Street 2:SUITE 1000
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-5113
Practice Address - Country:US
Practice Address - Phone:847-240-2211
Practice Address - Fax:847-240-2418
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-005685103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL319247OtherMHN PROVIDER NUMBER
IL32078OtherVALUE OPTIONS GRP NUMBER
IL1633897OtherBCBS GROUP NUMBER
IL32-0084889OtherGROUP TAX ID NUMBER
IL32078OtherVALUE OPTIONS GRP NUMBER
ILK02828Medicare UPIN