Provider Demographics
NPI:1477254050
Name:BRITZMAN, KARA E (PSYD)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:E
Last Name:BRITZMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:KARA
Other - Middle Name:E
Other - Last Name:BRITZMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:6301 N SHERIDAN RD APT 23K
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-5701
Mailing Address - Country:US
Mailing Address - Phone:773-234-1463
Mailing Address - Fax:
Practice Address - Street 1:6301 N SHERIDAN RD APT 23K
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660-5701
Practice Address - Country:US
Practice Address - Phone:773-234-1463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL71009321103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical