Healthcare Provider Details

I. General information

NPI: 1649108879
Provider Name (Legal Business Name): SARAH ROSENBLOOM, PHD & ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2835 N SHEFFIELD AVE STE 200
CHICAGO IL
60657-5083
US

IV. Provider business mailing address

2835 N SHEFFIELD AVE STE 200
CHICAGO IL
60657-5083
US

V. Phone/Fax

Practice location:
  • Phone: 312-834-2575
  • Fax:
Mailing address:
  • Phone: 312-834-3575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: SARAH ROSENBLOOM
Title or Position: CLINICAL DIRECTOR
Credential: PHD
Phone: 312-420-5594