NPI 1093098477

Kimberly Niccole Prugh, LMFT

Practitioner Marriage & Family Therapist Skokie, IL

Practice location

Address: 5225 Old Orchard Rd Suite 37, Skokie, IL 60077-4405
Phone: (773) 474-9082
Mailing address: 1961 W Summerdale Ave 2, Chicago, IL 60640-1040

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 166.000945 (IL)

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Registry record

NPI: 1093098477
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Sep 2011
Record last updated: 27 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.