Hiram Kirkendall Jr, LPC | |
510 Geneva Ave, Bellwood, IL 60104 | |
(630) 697-8882 | |
Not Available |
Full Name | Hiram Kirkendall Jr |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 510 Geneva Ave, Bellwood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740690668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 178009377 (Illinois) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
Mailing Address | Practice Location Address |
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Hiram Kirkendall Jr, LPC 510 Geneva Ave, Bellwood, IL 60104 Ph: (630) 697-8882 | Hiram Kirkendall Jr, LPC 510 Geneva Ave, Bellwood, IL 60104 Ph: (630) 697-8882 |
Tanya Thomas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 612 Bellwood Ave, Bellwood, IL 60104 Phone: 708-510-0567 | |
Leticia Avila, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2619 Congress St, Bellwood, IL 60104 Phone: 708-234-8668 | |
Mrs. Aunderia Denise Wallace, Counselor Medicare: Not Enrolled in Medicare Practice Location: 535 49th Ave, Bellwood, IL 60104 Phone: 708-267-4044 | |
Kenneth James Leggin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1046 Eastern Ave, Bellwood, IL 60104 Phone: 630-643-6615 | |
Prof. James Morris Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 Marshall Ave, Bellwood, IL 60104 Phone: 773-706-4694 |