Healthcare Provider Details

I. General information

NPI: 1255742805
Provider Name (Legal Business Name): SEEMA SAIGAL PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2014
Last Update Date: 05/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 N DEARBORN ST FL 15 ADLER
CHICAGO IL
60602-4310
US

IV. Provider business mailing address

2422 W MOFFAT ST # 2S
CHICAGO IL
60647-4311
US

V. Phone/Fax

Practice location:
  • Phone: 312-566-7453
  • Fax: 312-662-4099
Mailing address:
  • Phone: 847-877-1216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number071.008497
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number071.008497
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: