Healthcare Provider Details

I. General information

NPI: 1285599381
Provider Name (Legal Business Name): ULRIKE NEUBERT PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 WASHINGTON BLVD APT 1
OAK PARK IL
60302-4976
US

IV. Provider business mailing address

455 WASHINGTON BLVD APT 1
OAK PARK IL
60302-4976
US

V. Phone/Fax

Practice location:
  • Phone: 630-862-5529
  • Fax:
Mailing address:
  • Phone: 630-862-5529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number071.022567
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: