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Organization
MARTIN SRAJEK PHD LCSW LTD
Active
Organization
MARTIN SRAJEK PHD LCSW LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN SRAJEK PHD, LCSW (DIRECTOR)
(217) 637-2138
Entity
Organization
Contact information
Practice address
206 N RANDOLPH ST STE 534-36, CHAMPAIGN, IL 61820-3949
(217) 637-2138
(217) 355-4911
Mailing address
206 N RANDOLPH ST STE 534-36, CHAMPAIGN, IL 61820-3949
(217) 637-2138
(217) 355-4911
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730392481
INDIVIDUAL NPI
IL
01
—
S622-5686-1037
DRIVERS LICENSE
IL
Enumeration date
02/28/2020
Last updated
06/24/2025
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