MEDICARE: MICHELLE CHABAN, P.C.

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	103TC0700X	Clinical Psychologist	060008302	IL

General Provider Information

NPI Number	:	1437105061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHELLE CHABAN, P.C.

Provider Business Mailing Address
First Line	:	1640 MARCIE CT
Second Line	:
City	:	DEERFIELD
State	:	IL
Zip	:	60015-3974
Country	:	US
Telephone Number	:	847-405-0520
Fax Number	:

Provider Business Practice Location Address
First Line	:	707 LAKE COOK RD STE 105
Second Line	:
City	:	DEERFIELD
State	:	IL
Zip	:	60015-4909
Country	:	US
Telephone Number	:	866-220-8371
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MICHELLE CHABAN
Credential	:	PSY.D.
Telephone Number	:	866-220-8371

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	04/02/2025

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