IndividualActive
Ajit Samudra, MS, LMFT
NPI 1689794687 · Marriage & Family Therapist · Evanston, IL
Provider details
- NPI number
- 1689794687
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- MS, LMFT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
Practice location
820 Davis St Ste 455
Evanston, IL 60201-4447
Phone: (224) 714-2412
Approximate (ZIP-level) locationGet directions
Mailing address
820 Davis St Ste 455
Evanston, IL 60201-4447
Registry dates
- Enumerated
- 2007-03-31
- Last updated
- 2022-05-10
- Certified
- 2022-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.