Individual
DR. EIKO KOMURO VENOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2100 MANCHESTER RD, SUITE #1510, WHEATON, IL 60187-4579
(630) 653-1717
Mailing address
1929 CONWAY LN, AURORA, IL 60503-8548
(630) 479-2254
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008008
IL
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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