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Organization
ELLA KOMAROVSKY MD
Active
Organization
ELLA KOMAROVSKY MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLA KOMAROVSKY M.D. (PSYCHIATRIST)
(847) 217-4342
Entity
Organization
Contact information
Practice address
9933 LAWLER AVE, SUITE 338A, SKOKIE, IL 60077-3703
(847) 217-4342
Mailing address
9440 LAVERGNE AVE, SKOKIE, IL 60077-1353
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
036106106
IL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
336-106106
IL
Other
Enumeration date
11/01/2012
Last updated
03/13/2013
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