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Organization

NORTH SHORE PSYCHOTHERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JODY K ROTBLATT PSY.D. (OWNER)
(847) 323-8189
Entity
Organization

Contact information

Practice address
2835 N SHEFFIELD AVE STE 402, CHICAGO, IL 60657-5084
(847) 778-5533
(833) 325-1651
Mailing address
206 WHISTLER RD, HIGHLAND PARK, IL 60035-5955
(847) 323-8189
(833) 325-1651

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008109
IL
1041C0700X
Clinical Social Worker
149018766
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1487872735
BCBS-IL
IL
01
1982122412
BCBS-IL
IL
Enumeration date
06/08/2018
Last updated
11/19/2025
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