Individual
ELLA KOMAROVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 CENTRAL ST, EVANSTON, IL 60201-1777
(847) 425-6400
Mailing address
3350 W SALT CREEK LN, SUITE 114, ARLINGTON HEIGHTS, IL 60005-5023
(847) 952-7460
(847) 222-1754
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036106106
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106106
—
IL
01
—
363045007
TAX ID#
—
Enumeration date
07/28/2005
Last updated
07/21/2022
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