MEDICARE: DR. AMY FAYAZRAD PSY.D.

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1043440910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY FAYAZRAD PSY.D.

Provider Business Mailing Address
First Line	:	825 E GOLF RD
Second Line	:	SUITE 1127
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-5700
Country	:	US
Telephone Number	:	847-981-9200
Fax Number	:

Provider Business Practice Location Address
First Line	:	825 E GOLF RD
Second Line	:	SUITE 1127
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-5700
Country	:	US
Telephone Number	:	847-981-9200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2009
Last Update Date	:	09/30/2015

Similar Medicare Providers

1205896974 — ANILA KHAN DO
Practice Location Address:

825 E GOLF RD STE 1430
ARLINGTON HEIGHTS, IL
60005-5700

Practice Phone: 224-508-8774
Practice Fax: 224-298-0341

1932120482 — ANTHONY THOMAS MARCH DO
Practice Location Address:

825 E GOLF RD
ARLINGTON HEIGHTS, IL
60005-5700

Practice Phone: 847-640-9180
Practice Fax: 847-640-4450

1851302939 — AKBER ALI KHAN MD
Practice Location Address:

825 E GOLF RD , 2ND FLOOR
ARLINGTON HEIGHTS, IL
60005-5700

Practice Phone: 847-640-9180
Practice Fax: 847-640-4450

1780725572 — DR. ANNETTE LACEY PSY.D.
Practice Location Address:

825 E GOLF RD , SUITE 1127
ARLINGTON HEIGHTS, IL
60005-5700

Practice Phone: 847-981-9200
Practice Fax: 847-981-9322

1962668020 — MRS. AUDREY NAUTA MARGOL PSY.D.
Practice Location Address:

825 E GOLF RD , SUITE 1127
ARLINGTON HEIGHTS, IL
60005-5700

Practice Phone: 847-981-9200
Practice Fax: 847-981-9322

1639481591 — DR. KRANTI GOLLAPUDI DASGUPTA M.D.
Practice Location Address:

825 E GOLF RD , 2ND FL.
ARLINGTON HEIGHTS, IL
60005-5700

Practice Phone: 847-640-9180
Practice Fax: 847-640-4450

Directions to “ DR. AMY FAYAZRAD PSY.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.