Search › Illinois › 103T00000X
James Kotleba, LIC CLINICAL PSYCHOL
NPI 1164729620 · on the registry since 2011 · sole proprietor
Practice
- Address
- 745 S 8th St
West Dundee, IL 60118 - Phone
- (800) 428-7260
- Fax
- (847) 428-7269
- Organisation at this address
- Professional Consultations, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TC0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-12-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois