Most Relevant Information
Provider Data
| NPI Number: | 1003374521 |
| Provider Name: | LAUREN REBECCA KOBY PSYD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 071.009945 |
Most Important Dates
| Enumeration Date: | 03/04/2019 |
| Last Updated: | 07/24/2019 |
Provider Practice Location
1525 E 55TH ST
CHICAGO
IL
606155512
Practice Location Phone/Fax
| Phone: | 7733881600 |
| Fax: | 7733881602 |
Provider Mailing Location
4025 N SHERIDAN RD
CHICAGO
IL
606132010
Provider Mailing Phone/Fax
| Phone: | 7733881600 |
| Fax: | 7733881602 |