Provider Demographics
NPI:1467506311
Name:KOVACS, WENDY PATRICIA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:PATRICIA
Last Name:KOVACS
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 1:70 E LAKE ST STE 1300
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-7458
Mailing Address - Country:US
Mailing Address - Phone:312-726-4011
Mailing Address - Fax:
Practice Address - Street 1:70 E LAKE ST STE 1300
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-7458
Practice Address - Country:US
Practice Address - Phone:312-726-4011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166000657106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01634233OtherBLUE CROSS BLUE SHIELD