DR. JUDY KOENIGSBERG (NPI# 1174507008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174507008 |
| Entity Type | Individual |
| Full Name | DR. JUDY KOENIGSBERG |
| Credential | PH.D. |
| Practice Address |
708 Church St Evanston IL 60201-3840 |
| Mailing Address |
6907 N Kolmar Ave Lincolnwood IL 60712-4703 |
| Practice Telephone | 3124094222 |
| Mailing Telephone | 8476731421 |
| Mailing Fax Number | 8476799217 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| Street Address |
708 CHURCH ST |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-3840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942295738 | Mary C Hagele | Psychologist | 708 Church St, Suite 251, Evanston, IL 60201-3875 | 2005-09-16 |
| 1043857691 | Sara E P Solheim | Social Worker | 708 Church St, Evanston, IL 60201-3875 | 2019-12-03 |
| 1104306240 | A New Leaf Natural Medicine LLC | Dietitian, Registered | 708 Church St, Evanston, IL 60201-3875 | 2018-08-17 |
| 1285171504 | Bonnie Lynn Brock | Dietitian, Registered | 708 Church St, Evanston, IL 60201 | 2017-01-24 |
| 1346603156 | Evanston Integrative Chiropractic Center | Chiropractor | 708 Church St, Ste. 228, Evanston, IL 60201-3875 | 2016-03-30 |
| 1386009009 | Ashley Allis LLC | Counselor | 708 Church St, Suite 221, Evanston, IL 60201-3875 | 2015-12-22 |
| 1720453160 | John Koh | Psychologist | 708 Church St, Suite 216, Evanston, IL 60201-3875 | 2015-12-10 |
| 1770951022 | Alison Rachel Toback | Counselor | 708 Church St, Suite #206, Evanston, IL 60201-3875 | 2015-09-03 |
| 1780050591 | Joseph Alger | Social Worker | 708 Church St, Suite 225, Evanston, IL 60201-3875 | 2015-08-16 |
| 1669871133 | Ashley Allis | Counselor | 708 Church St, Suite 221, Evanston, IL 60201-3875 | 2014-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007049 | Heloisa Garman | Psychologist | 800 Elgin Rd Apt 1611, Evanston, IL 60201-5632 | 2020-09-14 |
| 1992346233 | Kiran Ramesh Mirchandani | Psychologist | 1740 Ridge Ave Ste 22, Evanston, IL 60201-5918 | 2019-10-07 |
| 1982181533 | Melissa Perrin | Psychologist | 2530 Crawford Ave Ste 203, Evanston, IL 60201-4959 | 2018-07-26 |
| 1689165250 | Mona Sue Weissmark | Psychologist | 737 Clinton Pl, Evanston, IL 60201-1765 | 2018-05-19 |
| 1063920957 | Tamara Miriam Claman | Psychologist | 1718 Sherman Ave Ste 210, Evanston, IL 60201-5610 | 2018-01-13 |
| 1619480720 | Kaelin Emery | Psychologist | 820 Davis St Ste 455, Evanston, IL 60201-4447 | 2017-11-10 |
| 1861905051 | Dr. Tari Mack, Inc. | Psychologist | 636 Church St Ste 415, Evanston, IL 60201-4580 | 2017-11-09 |
| 1639535396 | Alissa Levy Chung, Ph.d., Inc. | Psychologist | 704 South Blvd, Evanston, IL 60202-2908 | 2016-01-12 |
| 1114359213 | Dr Savage Psychological Services PC | Psychologist | 2550 Crawford Ave Ste 12, Evanston, IL 60201-4987 | 2013-07-31 |
| 1710320080 | Marni B Rosen | Psychologist | 2130 Green Bay Rd, Evanston, IL 60201-3026 | 2013-04-16 |
| Find all providers in EVANSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.