Individual
ELLICE KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1979 N MILL ST STE 204, NAPERVILLE, IL 60563-8472
(630) 474-1006
Mailing address
1979 N MILL ST STE 204, NAPERVILLE, IL 60563-8472
(630) 474-1006
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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