MEDICARE: KOKORO PSYCHOLOGICAL AND CONSULTATION SERVICES, PLLC

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	103T00000X	Psychologist

General Provider Information

NPI Number	:	1851244917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KOKORO PSYCHOLOGICAL AND CONSULTATION SERVICES, PLLC

Provider Business Mailing Address
First Line	:	3805 N PIONEER AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60634-2049
Country	:	US
Telephone Number	:	847-372-6862
Fax Number	:	847-594-0736

Provider Business Practice Location Address
First Line	:	3805 N PIONEER AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60634-2049
Country	:	US
Telephone Number	:	847-372-6862
Fax Number	:	847-594-0736

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	DR. ERIN SUZANNE TERADA
Credential	:	PSYD
Telephone Number	:	847-372-6862

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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