Ella Komarovsky MD

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

336-106106 Issued in IL

Legal business name

ELLA KOMAROVSKY MD

Practice address

9933 Lawler Ave
Suite 338a
Skokie, IL 60077-3703

Phone

(847) 217-4342

NPI assigned

Nov 1, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ella Komarovsky, M.D.

Title

Psychiatrist

Phone

(847) 217-4342

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1093069866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 LAVERGNE AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE",
            "address_2": "SUITE 338A",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773703",
            "telephone_number": "847-217-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLA KOMAROVSKY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "KOMAROVSKY",
        "authorized_official_first_name": "ELLA",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "847-217-4342",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "036106106",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "IL",
            "license": "336-106106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joshua Eloge, MD
• Mary Elston, LPC

• Adolescent and Children Mental Health Clinic/Center in Skokie, IL
• Providers in Skokie, IL by specialty
• Adolescent and Children Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.