Ms. Lauren Rebecca Koby
Clinical Psychologist
1525 E 55th St
Chicago
, Illinois 60615-5512
Ms. Lauren Rebecca Koby
Clinical Psychologist
1525 E 55th St
Chicago
, Illinois 60615-5512
(773) 388-1602
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Ms. Lauren Rebecca Koby
- 4025 N Sheridan Rd
- Chicago, IL
- Zip : 60613-2010
- Fax : (773) 388-1602
- Phone : (773) 388-1600
Second Address
- Ms. Lauren Rebecca Koby
- 1525 E 55th St
- Chicago, IL
- Zip : 60615-5512
- Fax : (773) 388-1602
- Phone : (773) 388-1600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 071.009945 | IL |
| Y | 103TC0700X | Clinical Psychologist | 071.009945 | IL |
National Provider Identifier
| NPI | 1003374521 |
|---|---|
| Provider Name | Ms. Lauren Rebecca Koby |
| First Address | Chicago, IL 60613-2010 |
| Second Address | Chicago, IL 60615-5512 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/03/2019 |
| Last Update Date | 24/07/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.