Provider Demographics
NPI:1013506013
Name:KATHARINE KHARAS PSYD, INC.
Entity Type:Organization
Organization Name:KATHARINE KHARAS PSYD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHARINE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:KHARAS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:773-330-5688
Mailing Address - Street 1:3443 W DRUMMOND PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-1211
Mailing Address - Country:US
Mailing Address - Phone:773-330-5688
Mailing Address - Fax:
Practice Address - Street 1:25 E WASHINGTON ST STE 908
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-1718
Practice Address - Country:US
Practice Address - Phone:773-330-5688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty