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General NPI Number Information
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NPI Number | 1932236924
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Entity Type | Individual
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Provider Name | KATHLEEN ANN TRAUB PSYD
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1775 DEMPSTER ST
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City | PARK RIDGE
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State | IL
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Zip | 60068-1143
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Country | US
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Telephone | 847-723-8914
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Fax |
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Provider Business Mailing Address
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Address Line | 44 WOODSTONE CT
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-6757
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Country | US
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Telephone | 847-279-0134
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2019-057
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State | IL
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