Individual
MS. LAUREN REBECCA KOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1525 E 55TH ST, CHICAGO, IL 60615-5512
(773) 388-1600
(773) 388-1602
Mailing address
4025 N SHERIDAN RD, CHICAGO, IL 60613-2010
(773) 388-1600
(773) 388-1602
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009945
IL
Other
Enumeration date
03/04/2019
Last updated
07/24/2019
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