Active NPI
Nancy J Litz, LLC
- Clinical Psychologist
- Glen Ellyn, IL
National Provider Identifier
1760668727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- NANCY J LITZ, LLC
- Practice address
- 45 S Park Blvd Ste 355
Glen Ellyn, IL 60137-6283 - Phone
- (630) 469-6697
- NPI assigned
- Jan 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tina Bombard
- Title
- Billing Manager
- Phone
- (630) 897-6851
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | IL | Primary |
Addresses
Primary practice location
45 S Park Blvd Ste 355
Glen Ellyn, IL 60137-6283
Mailing address
45 S Park Blvd Ste 355
Glen Ellyn, IL 60137-6283
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG7517 | Other | IL | RAIL ROAD MEDICARE |
| 2232634 | Other | IL | BCBS |
National Provider Directory
National Provider DirectoryLocations
45 S Park Blvd
Ste 355
Glen Ellyn, IL 60137
Phone (630) 469-6697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207008000000",
"number": "1760668727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 S PARK BLVD STE 355",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601376283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 S PARK BLVD STE 355",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601376283",
"telephone_number": "630-469-6697"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NANCY J LITZ, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-21",
"last_updated": "2008-04-01",
"status": "A",
"authorized_official_last_name": "BOMBARD",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "630-897-6851"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "DG7517",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2232634",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.