MEDICARE: ORIAH, 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	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1053011064
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORIAH, PLLC

Provider Business Mailing Address
First Line	:	405 N WABASH AVE UNIT 1814
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-5661
Country	:	US
Telephone Number	:	224-400-5539
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 N WABASH AVE UNIT 1814
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-5661
Country	:	US
Telephone Number	:	224-400-5539
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JEFFREY ALAN COADY
Credential	:	PSY,D
Telephone Number	:	224-400-5539

Provider Enumeration Date	:	03/08/2023
Last Update Date	:	04/30/2025

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