Iwona Konczak is a Clinical in Chicago, Illinois. Iwona Konczak practices all healthcare services and medical treatments related to Clinical. The NPI Number for Iwona Konczak is 1568642015. The last update date is 2022-10-07.
Iwona Konczak's current location address is 450 W Briar Pl, Chicago, Illinois. You can contact this provider via phone number 8472261810. The mailing address for Iwona Konczak is 450 W Briar Pl, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Iwona Konczak |
|---|---|
| Address | 450 W Briar Pl, Chicago, Illinois |
| Phone Number | 8472261810 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1568642015 |
|---|---|
| Provider Enumeration Date | 2007-11-13 |
| Last Updated Date | 2022-10-07 |
Provider Mailing Address Detail
| Address | 450 W Briar Pl |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606574737 |
| Phone Number | 8472261810 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20042297A |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| IL7807 | IL | MEDICARE ID |
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What is the unique identifier code issued to Iwona Konczak by the Centers for Medicare & Medicaid Services?
The Iwona Konczak has been assigned the NPI (National Provider Identifier) 1568642015. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Iwona Konczak?
The Iwona Konczak is physically situated at 450 W Briar Pl, in the city of Chicago, state of IL, with the postal code 606574737.
What is Iwona Konczak's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Iwona Konczak is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Iwona Konczak receive its 1568642015 assignment from the Centers for Medicare & Medicaid Services?
The Iwona Konczak was assigned its 1568642015 by the Centers for Medicare & Medicaid Services on 2007-11-13.
When was the information related to Iwona Konczak most recently updated or refreshed?
The details pertaining to the Iwona Konczak, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-10-07.
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