Individual
KAREN NEKOLNY-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
6502 JOLIET RD STE 201, COUNTRYSIDE, IL 60525
(708) 215-8400
(708) 215-8410
Mailing address
6502 JOLIET RD STE 201, COUNTRYSIDE, IL 60525-4682
(708) 215-8400
(708) 215-8410
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-005093
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071-005093
STATE LICENSE NUMBER
IL
Enumeration date
12/11/2006
Last updated
08/29/2018
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