MEDICARE: DR. SEEMA SAIGAL PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TB0200X	Cognitive & Behavioral Psychologist	071.008497	IL
2	103TC0700X	Clinical Psychologist	071.008497	IL

General Provider Information

NPI Number	:	1255742805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEEMA SAIGAL PH.D.

Provider Business Mailing Address
First Line	:	2422 W MOFFAT ST # 2S
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-4311
Country	:	US
Telephone Number	:	847-877-1216
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 N DEARBORN ST FL 15
Second Line	:	ADLER
City	:	CHICAGO
State	:	IL
Zip	:	60602-4310
Country	:	US
Telephone Number	:	312-566-7453
Fax Number	:	312-662-4099

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2014
Last Update Date	:	05/16/2014

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