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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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