Individual
KATHLEEN PHILBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1024 LAKE AVE, WILMETTE, IL 60091-1764
(847) 251-1872
Mailing address
1804 GREENWOOD ST, EVANSTON, IL 60201-4037
(847) 332-2279
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1622884
BLUE CROSS BLUE SHEILD
IL
01
—
4244296
AETNA
IL
Enumeration date
01/24/2007
Last updated
12/14/2007
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