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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