Provider Demographics
NPI:1588744551
Name:HARAP, JODI NORDMANN (PHD)
Entity type:Individual
Prefix:DR
First Name:JODI
Middle Name:NORDMANN
Last Name:HARAP
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 E. WOODFIELD ROAD
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-5113
Mailing Address - Country:US
Mailing Address - Phone:847-240-2211
Mailing Address - Fax:847-240-2418
Practice Address - Street 1:1101 31ST ST STE 105
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-5535
Practice Address - Country:US
Practice Address - Phone:630-206-0272
Practice Address - Fax:630-598-9123
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-006188103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL46-5304932OtherALDER TAX ID NO
IL071006188OtherIL STATE LICENSE NO
IL1633897OtherBCBS GRP NUMBER
IL207844Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER