MEDICARE: RACHEL KAZEZ THERAPY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1003653684
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RACHEL KAZEZ THERAPY, PLLC

Provider Business Mailing Address
First Line	:	2650 W MONTROSE AVE STE 305
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-1561
Country	:	US
Telephone Number	:	312-547-1021
Fax Number	:

Provider Business Practice Location Address
First Line	:	2650 W MONTROSE AVE STE 305
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-1561
Country	:	US
Telephone Number	:	312-547-1021
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	RACHEL KAZEZ
Credential	:	LCSW
Telephone Number	:	312-547-1021

Provider Enumeration Date	:	07/11/2024
Last Update Date	:	04/08/2026

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