Healthcare Provider Details

I. General information

NPI: 1144679226
Provider Name (Legal Business Name): RACHEL COHEN LOSOFF PH.D., LCP, NCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2016
Last Update Date: 05/10/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 SKOKIE BLVD STE 208
NORTHBROOK IL
60062-4033
US

IV. Provider business mailing address

910 SKOKIE BLVD STE 208
NORTHBROOK IL
60062-4033
US

V. Phone/Fax

Practice location:
  • Phone: 312-379-1606
  • Fax:
Mailing address:
  • Phone: 312-379-1606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number071007738
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: