NPI 1093298259

Raquel Nowak, PSYD

Practitioner Psychologist Orland Park, IL

Practice location

Address: 9631 W 153rd St STE 38, Orland Park, IL 60462-3778
Phone: (773) 888-2586
Mailing address: 5659 S Kolin Ave, Chicago, IL 60629-4838

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 071.009820 (IL)

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Registry record

NPI: 1093298259
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Sep 2018
Record last updated: 12 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.