| Doctor Name: | MR. RAMIN H KADKHODAIAN |
| NPI Number: | 1023260403 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, LCPC |
| License Number: | 180006525 |
| Business Practice Address: | 1930 Thoreau Dr N Suite 170 Schaumburg, IL - 601734181 |
| Business Phone Number: | 8472539769 |
| Business Fax Number: | 8472619999 |
| Mailing Address: | 1930 Thoreau Dr N, Suite 170 SCHAUMBURG |
| State: | IL |
| Postal Code: | 601734181 |
| Phone Number: | 8472539769 |
| Fax Number: | 8472619999 |
| NPI Enumeration Date: | 10/16/2008 |
| NPI Last Update Date: | 03/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 180006525 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |