Healthcare Provider Details

I. General information

NPI: 1659288876
Provider Name (Legal Business Name): ARIANA DORSHKIND
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ARI DORSHKIND

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 W IRVING PARK RD STE 104
CHICAGO IL
60613-2596
US

IV. Provider business mailing address

3271 W ALTGELD ST APT 3
CHICAGO IL
60647-7165
US

V. Phone/Fax

Practice location:
  • Phone: 360-356-6410
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: