Active NPI
Clare Polega, PSYD
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1043093040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071011379
- Practice address
- 913 W Wellington Ave
Chicago, IL 60657-6709 - Phone
- (708) 790-0926
- NPI assigned
- Aug 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS019833 | PA | |
| Clinical Psychologist | 103TC0700X | 071011379 | IL | Primary |
Addresses
Primary practice location
913 W Wellington Ave
Chicago, IL 60657-6709
Mailing address
3518 N Wilton Ave Unit 1
Chicago, IL 60657-5270
Phone (708) 790-0926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS019833 | PA | MD | Psychologist |
| 071011379 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1043093040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3518 N WILTON AVE UNIT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575270",
"telephone_number": "708-790-0926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 W WELLINGTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606576709",
"telephone_number": "708-790-0926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLEGA",
"first_name": "CLARE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-15",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS019833",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071011379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.