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Organization

KIM KOBUS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIMBERLY KOBUS PHD (PRESIDENT)
(630) 585-3988
Entity
Organization

Contact information

Practice address
1240 IROQUOIS AVE, SUITE 100, NAPERVILLE, IL 60563-8536
(630) 585-3988
Mailing address
PO BOX 6219, RIVER FOREST, IL 60305-6219
(630) 585-3988

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02232935
BC/BS ID
IL
Enumeration date
10/01/2007
Last updated
10/01/2007
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