Individual
RAJKUMAR PERIASAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
666 DUNDEE RD STE 708, NORTHBROOK, IL 60062-2734
(312) 900-8642
Mailing address
666 DUNDEE RD STE 708, NORTHBROOK, IL 60062-2734
(312) 900-8642
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071010695
IL
Other
Enumeration date
02/06/2019
Last updated
08/04/2022
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