Provider Demographics
NPI:1316299050
Name:KARESH, RACHEL (LCSW)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:KARESH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2755 W FITCH AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-3003
Mailing Address - Country:US
Mailing Address - Phone:773-587-9418
Mailing Address - Fax:
Practice Address - Street 1:3557 W PETERSON AVE
Practice Address - Street 2:SUITE 128
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-3218
Practice Address - Country:US
Practice Address - Phone:773-587-9418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-04
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490155061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical