| Kathleen Krupica, Psy.d | |
|
4055 W Peterson Ave Suite 201 Chicago IL 60646-6182 | |
| (847) 542-1265 | |
| (847) 620-0634 |
| Full Name | Kathleen Krupica, Psy.d |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4055 W Peterson Ave, Chicago, Illinois |
| Authorized Official Name and Position | Kathleen Ann Krupica (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8475421265 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Krupica, Psy.d 4055 W Peterson Ave Suite 201 Chicago IL 60646-6182 Ph: (847) 542-1265 | Kathleen Krupica, Psy.d 4055 W Peterson Ave Suite 201 Chicago IL 60646-6182 Ph: (847) 542-1265 |
| NPI Number | 1043474976 |
|---|---|
| Provider Enumeration Date | 07/10/2008 |
| Last Update Date | 07/22/2008 |
| Medicare PECOS PAC ID | 7012081615 |
|---|---|
| Medicare Enrollment ID | O20080730000649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043474976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 071006309 (Illinois) | Primary |
| Provider Name | Kathleen A Krupica |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790791192 PECOS PAC ID: 7214001809 Enrollment ID: I20080730000630 |
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