Individual
DR. ELENA I. KUMKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8021 LINCOLN AVE, SKOKIE, IL 60077-3611
(847) 568-0849
Mailing address
3930 N PINE GROVE AVE, UNIT 301, CHICAGO, IL 60613-3346
(773) 531-0718
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
IL
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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