Individual provider · Type 1 NPI
Benjamin Ejzak
Professional Counselor · Chicago, IL
NPI number
1093545642
Active
Practice location
1127 N Oakley Blvd Fl 3
Chicago, IL 60622-3507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178.023355 (IL) |
Professional Counselor: Definition to come...
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About NPI 1093545642
Benjamin Ejzak's National Provider Identifier is 1093545642, issued on Aug 7, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Sep 28, 2026.