Healthcare Provider Details

I. General information

NPI: 1932991361
Provider Name (Legal Business Name): AARON NICHOLAS BUZEK PSY.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 HARGER RD STE 600
OAK BROOK IL
60523-1820
US

IV. Provider business mailing address

1123 N WINCHESTER AVE APT 3
CHICAGO IL
60622-4161
US

V. Phone/Fax

Practice location:
  • Phone: 703-928-8450
  • Fax:
Mailing address:
  • Phone: 703-928-8450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number071.021086
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: