| Nancy J Litz, Llc | |
|
45 S Park Blvd Ste 355 Glen Ellyn IL 60137-6283 | |
| (630) 469-6697 | |
| Not Available |
| Full Name | Nancy J Litz, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 45 S Park Blvd Ste 355, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Tina Bombard (BILLING MANAGER) |
| Authorized Official Contact | 6308976851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy J Litz, Llc 45 S Park Blvd Ste 355 Glen Ellyn IL 60137-6283 Ph: () - | Nancy J Litz, Llc 45 S Park Blvd Ste 355 Glen Ellyn IL 60137-6283 Ph: (630) 469-6697 |
| NPI Number | 1760668727 |
|---|---|
| Provider Enumeration Date | 01/21/2008 |
| Last Update Date | 04/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760668727 | NPI | - | NPPES |
| DG7517 | Other | IL | RAIL ROAD MEDICARE |
| 2232634 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
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