Individual
DR. CAROL ANN BRUNKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
4930 S COTTAGE GROVE AVE, CHICAGO, IL 60615-2616
(773) 285-8040
Mailing address
1410 W GEORGE ST, CHICAGO, IL 60657-4104
(773) 883-3071
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1989567
IL
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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