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General NPI Number Information
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NPI Number | 1013348150
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Entity Type | Individual
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Provider Name | KRISTEN M. MARKOVICH PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 11/27/2013
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Last Update Date | 09/22/2015
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Provider Practice Location Address
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Address Line | 18-5 E DUNDEE RD SUITE 130
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City | BARRINGTON
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State | IL
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Zip | 60010-7412
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Country | US
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Telephone | 630-291-1097
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Fax |
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Provider Business Mailing Address
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Address Line | 1633 W SCHAUMBURG RD
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City | SCHAUMBURG
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State | IL
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Zip | 60194-3902
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Country | US
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Telephone | 630-291-1097
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071.008628
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License Number State | IL
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