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

Individual provider Psychologist · NPI 1013472752

Rajkumar Periasamy is a Clinical Psychologist in Northbrook, Illinois. Qualified in 2020, 6 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2019
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Practice location Address checks out

666 Dundee Rd Ste 708
Northbrook, IL 60062-2734
Phone: (312) 900-8642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 517 Deltona Blvd Ste A, Deltona, FL 32725-8016 — (614) 736-1415
  • 1011 W Wellington Ave Ste 210, Chicago, IL 60657-7187 — (312) 900-8612

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 071010695 (IL)

Record details

NPI number1013472752
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 6, 2019
Last updated in NPPESAugust 4, 2022
Certification dateAugust 4, 2022
Mailing address666 Dundee Rd Ste 708, Northbrook, IL 60062-2734

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Northbrook