NPI 1851657449

Allen Kodish, MD

Practitioner Psychoanalyst Chicago, IL

Practice location

Address: 1525 E 53rd St #802, Chicago, IL 60615-4557
Phone: (312) 332-2101
Fax: (773) 324-8098

Registered specialties

Psychoanalyst Primary

Behavioral Health & Social Service Providers Taxonomy 102L00000X Licence 036057422 (IL)

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Registry record

NPI: 1851657449
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Apr 2012
Record last updated: 8 Apr 2012

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.