MEDICARE: DR. JUDY KOENIGSBERG PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist		IL

General Provider Information

NPI Number	:	1174507008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUDY KOENIGSBERG PH.D.

Provider Business Mailing Address
First Line	:	6907 N KOLMAR AVE
Second Line	:
City	:	LINCOLNWOOD
State	:	IL
Zip	:	60712-4703
Country	:	US
Telephone Number	:	847-673-1421
Fax Number	:	847-679-9217

Provider Business Practice Location Address
First Line	:	708 CHURCH ST
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60201-3840
Country	:	US
Telephone Number	:	312-409-4222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1770429201 — MICAIAH WARREN
Practice Location Address:

708 CHURCH ST STE 248
EVANSTON, IL
60201-3840

Practice Phone: 847-232-6353
Practice Fax:

1003823519 — MRS. EILEEN H GLENN L.C.P.C.
Practice Location Address:

708 CHURCH ST STE 247
EVANSTON, IL
60201-3840

Practice Phone: 847-733-9661
Practice Fax: 847-733-1571

1174534119 — MRS. SHERRY GRAHAM NELSON LCSW
Practice Location Address:

708 CHURCH ST STE 258
EVANSTON, IL
60201-3840

Practice Phone: 847-864-3730
Practice Fax:

1114012275 — BILJANA CVEJIN PSYD
Practice Location Address:

708 CHURCH ST STE 261
EVANSTON, IL
60201-3840

Practice Phone: 815-562-9353
Practice Fax:

1265577662 — MS. CAROL DIANNE JENNINGS LCPC
Practice Location Address:

708 CHURCH STREET , SUITE 245
EVANSTON, IL
60201-3840

Practice Phone: 847-492-9288
Practice Fax:

1144414210 — KAREN BETH GREENBERG LCSW
Practice Location Address:

708 CHURCH ST STE 247
EVANSTON, IL
60201-3840

Practice Phone: 312-203-9648
Practice Fax:

Directions to “ DR. JUDY KOENIGSBERG PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.