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

Ruby Koltun Dienstag

Individual provider Psychologist · NPI 1811732043

Ruby Koltun Dienstag is a Psychologist in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1507 W Lawrence Ave
Chicago, IL 60640-4702
Phone: (773) 569-1468
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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 number1811732043
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 28, 2024
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing address7076 N Wolcott Ave Apt 3, Chicago, IL 60626-2382

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