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Individual

DR. NANCY J. LITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
45 S PARK BLVD, SUITE 355, GLEN ELLYN, IL 60137-6280
(630) 469-6697
(630) 665-7701
Mailing address
45 S PARK BLVD, SUITE 355, GLEN ELLYN, IL 60137-6280
(630) 469-6697
(630) 665-7701

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2232634
BCBS
IL
01
P00452352
RAIL ROAD MEDICARE
IL
Enumeration date
07/20/2006
Last updated
04/01/2008
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