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General NPI Number Information
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NPI Number | 1205499951
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Entity Type | Organization
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Legal Business Name | RELATIONAL PSYCHOLOGY GROUP, INC.
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Dates
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Enumeration Date | 04/18/2019
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 9711 SKOKIE BLVD STE H
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City | SKOKIE
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State | IL
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Zip | 60077-1384
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Country | US
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Telephone | 224-307-4850
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Fax | 773-669-5915
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Provider Business Mailing Address
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Address Line | 9711 SKOKIE BLVD STE H
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City | SKOKIE
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State | IL
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Zip | 60077-1384
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Country | US
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Telephone | 224-307-4850
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Fax | 773-669-5915
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. RACHAEL SHANNA SYTSMA
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Credential | PSY.D.
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Telephone | 224-307-4850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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