| Kollmorgen & Natta, P.c. | |
|
910 Skokie Blvd. Suite 101 Northbrook IL 60062-4032 | |
| (847) 480-9999 | |
| Not Available |
| Full Name | Kollmorgen & Natta, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 910 Skokie Blvd., Northbrook, Illinois |
| Authorized Official Name and Position | Lizabeth A. Kollmorgen (CO-OWNER) |
| Authorized Official Contact | 8474809999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kollmorgen & Natta, P.c. 910 Skokie Blvd. Suite 101 Northbrook IL 60062-4032 Ph: (847) 480-9999 | Kollmorgen & Natta, P.c. 910 Skokie Blvd. Suite 101 Northbrook IL 60062-4032 Ph: (847) 480-9999 |
| NPI Number | 1346427481 |
|---|---|
| Provider Enumeration Date | 01/30/2008 |
| Last Update Date | 09/15/2022 |
| Certification Date | 09/15/2022 |
| Medicare PECOS PAC ID | 9739124280 |
|---|---|
| Medicare Enrollment ID | O20050624000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346427481 | NPI | - | NPPES |
| 21620045 | Other | IL | BLUE CROSS BLUE SHIELD IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071-005260 (Illinois) | Primary |
| Provider Name | Lizabeth A Kollmorgen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174654990 PECOS PAC ID: 4587609979 Enrollment ID: I20050629000977 |
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