Healthcare Provider Details

I. General information

NPI: 1437944469
Provider Name (Legal Business Name): KUBE PSYCHOLOGICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2025
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1819 N SAINT LOUIS AVE APT 2RN
CHICAGO IL
60647-2261
US

IV. Provider business mailing address

1819 N SAINT LOUIS AVE APT 2RN
CHICAGO IL
60647-2261
US

V. Phone/Fax

Practice location:
  • Phone: 480-231-7985
  • Fax:
Mailing address:
  • Phone: 480-231-7985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIN KUBE
Title or Position: PSYCHOLOGIST
Credential: PHD
Phone: 773-741-0607