Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellice Kang

Individual provider Psychologist · NPI 1679309850

Ellice Kang is a Clinical Psychologist in Naperville, Illinois. Qualified in 2024, 2 years ago. Practices with Gryzbek Therapy Services LLC, a 4-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

1979 N Mill St Ste 204
Naperville, IL 60563-8472
Phone: (630) 474-1006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1679309850
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2024
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024
Mailing address1979 N Mill St Ste 204, Naperville, IL 60563-8472

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Gryzbek Therapy Services Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Naperville