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Individual
DR. ALLEN KODISH
Active
Individual
DR. ALLEN KODISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
036057422
IL
Other
Enumeration date
04/08/2012
Last updated
04/08/2012
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