Provider Demographics
NPI:1104034388
Name:KULIG, ANN (LMFT)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:
Last Name:KULIG
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3510 LAWRENCE LN
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-7112
Mailing Address - Country:US
Mailing Address - Phone:847-375-6844
Mailing Address - Fax:847-375-6844
Practice Address - Street 1:1229 GREEN BAY RD
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-1679
Practice Address - Country:US
Practice Address - Phone:847-375-6844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166-000181106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist