Iwona Konczak, Psy.D., Corp

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-007687 Issued in IL

Legal business name

IWONA KONCZAK, PSY.D., CORP

Practice address

415 W Golf Rd
Suite 4
Arlington Heights, IL 60005-3929

Phone

(847) 226-1810

NPI assigned

Jan 16, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Iwona Konczak, PSY.D.

Title

Psychologist/Practice Owner

Phone

(847) 226-1810

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1104164730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD",
            "address_2": "SUITE 4",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD",
            "address_2": "SUITE 4",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053929",
            "telephone_number": "847-226-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IWONA KONCZAK, PSY.D., CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "KONCZAK",
        "authorized_official_first_name": "IWONA",
        "authorized_official_title_or_position": "PSYCHOLOGIST/PRACTICE OWNER",
        "authorized_official_telephone_number": "847-226-1810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-007687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.