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ELLA KOMAROVSKY MD NPI 1093069866


NPI Information

NPI: 1093069866
Provider Name: ELLA KOMAROVSKY MD
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
9933 LAWLER AVE
SUITE 338A
SKOKIE, IL
ZIP 60077
Phone: (847) 217-4342
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ELLA KOMAROVSKY MD is an adolescent and children mental health clinic center in Skokie, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. ELLA KOMAROVSKY MD NPI is 1093069866. The provider is registered as an organization entity type.

The provider's business location address is:

9933 LAWLER AVE
SUITE 338A
SKOKIE, IL
ZIP 60077-703
Phone: (847) 217-4342

The provider's authorized official is Ella Komarovsky .
The authorized official title is Psychiatrist and has the following contact phone number (847) 217-4342.

The enumeration date for this NPI number is 11/1/2012 and was last updated on 3/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental Health036106106ILLINOISNo
2261QM0855XClinic/CenterAdolescent and Children Mental Health336-106106ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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