Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chicago Behavioral Clinic LLC

Organization Clinical Psychologist · NPI 1821540428

Chicago Behavioral Clinic LLC is a Clinical Psychologist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2502 N Clark St Ste 206
Chicago, IL 60614-1850
Phone: (773) 850-0294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071008535 (IL)

Record details

NPI number1821540428
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Azadeh Ghaffari — Clinical Psychologist · (773) 850-0294
NPI enumeratedOctober 29, 2016
Last updated in NPPESJune 1, 2020
Certification dateJune 1, 2020
Mailing address2502 N Clark St Ste 206, Chicago, IL 60614-1850

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