Provider Demographics
NPI:1902287923
Name:PROGRESSIVE PSYCHOLOGICAL HEALTHCARE, S.C.
Entity Type:Organization
Organization Name:PROGRESSIVE PSYCHOLOGICAL HEALTHCARE, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTORIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:TSARAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LPC
Authorized Official - Phone:847-791-1580
Mailing Address - Street 1:666 MALLARD LN
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-3630
Mailing Address - Country:US
Mailing Address - Phone:847-791-1580
Mailing Address - Fax:
Practice Address - Street 1:637 E GOLF RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-4967
Practice Address - Country:US
Practice Address - Phone:847-791-1580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-16
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service