Organization
KOLLMORGEN & NATTA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZABETH A. KOLLMORGEN PSY.D. (CO-OWNER)
(847) 480-9999
Entity
Organization
Contact information
Practice address
910 SKOKIE BLVD., SUITE 101, NORTHBROOK, IL 60062-4032
(847) 480-9999
Mailing address
910 SKOKIE BLVD., SUITE 101, NORTHBROOK, IL 60062-4032
(847) 480-9999
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-005260
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21620045
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
01/30/2008
Last updated
09/15/2022
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