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

Dr. Ray Edward Quackenbush, PSYD

Individual provider Clinical Psychologist · NPI 1619970357

Dr. Ray Edward Quackenbush, PSYD is a Clinical Psychologist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

4801 W Peterson Ave Ste 525
Chicago, IL 60646-5731
Phone: (773) 286-3100
Fax: (773) 777-7543
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X (IL)

Record details

NPI number1619970357
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedMay 26, 2005
Last updated in NPPESJuly 8, 2007

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