UNIVERSITY OF ILLINOIS
NPI 1962631010
Psychologist - Clinical in Chicago, IL

Q: What is University Of Illinois's NPI number?

The NPI number for University Of Illinois is 1962631010. It was assigned to this organization in the NPPES registry on July 10, 2009.

Q: What is University Of Illinois's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since July 10, 2009

1747 W ROOSEVELT RD, CHICAGO, IL 60608(312) 413-1741 Get Directions Write a Review

NPPES record last updated: July 10, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About University Of Illinois NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIVERSITY OF ILLINOIS (NPI 1962631010) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since July 2009. The organization lists Marisela Huerta, Visiting Staff Psychologist, as its authorized official.

NPPES Registry Identity

NPI1962631010

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameUNIVERSITY OF ILLINOIS

Location Address1747 W ROOSEVELT RDChicago, IL 60608-1264

Mailing Address1747 W Roosevelt RdChicago, IL 60608-1264 · (312) 413-1741

Phone(312) 413-1741

Organization SubpartNo

Authorized OfficialMarisela HuertaVisiting Staff Psychologist · (312) 413-1741

Enumeration DateJuly 10, 2009

✔ NPI 1962631010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071007706

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1747 W ROOSEVELT RD, Chicago, IL 60608

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIKA LUZ GUSTAFSON PHD

Psychologist

1747 W ROOSEVELT RD
CHICAGO, IL 60608

Cook County (312) 996-2200

THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

General Acute Care Hospital

1747 W ROOSEVELT RD
CHICAGO, IL 60608

Cook County (312) 996-7723

DR. DANA RUSCH PH.D.

Psychologist (Clinical Child & Adolescent)

1747 W ROOSEVELT RD, INSTITUTE FOR JUVENILE RESEARCH, COLBETH CLINIC
CHICAGO, IL 60608

Cook County (312) 996-7723

JULIA WENZLAFF LCSW

Social Worker (Clinical)

1747 W ROOSEVELT RD, 155 IJR
CHICAGO, IL 60608

Cook County (312) 996-8083

MAANASA BANDLA

Psychiatry & Neurology (Psychiatry)

1747 W ROOSEVELT RD
CHICAGO, IL 60608

Cook County (312) 996-9593

DR. NIRANJAN KARNIK M.D., PH.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

1747 W ROOSEVELT RD
CHICAGO, IL 60608

Cook County (312) 273-0185

MYA WILDER

Student in an Organized Health Care Education/Training Program

1747 W ROOSEVELT RD
CHICAGO, IL 60608

Cook County (312) 355-1203

JENNIFER SUOR PH.D.

Psychologist (Clinical)

1747 W ROOSEVELT RD
CHICAGO, IL 60608

Cook County (312) 355-3871

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Of Illinois's NPI number?

The NPI number for University Of Illinois is 1962631010. It was assigned to this organization in the NPPES registry on July 10, 2009.

Where is University Of Illinois located?

University Of Illinois is located at 1747 W Roosevelt Rd, Chicago, IL 60608. The listed phone number is (312) 413-1741.

What is University Of Illinois's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for University Of Illinois was last updated on July 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.