| Alicia Kimball Lcsw Glcma Pllc | |
|
1901 N Roselle Rd Ste 800 Schaumburg IL 60195-3186 | |
| (847) 220-7603 | |
| Not Available |
| Full Name | Alicia Kimball Lcsw Glcma Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1901 N Roselle Rd Ste 800, Schaumburg, Illinois |
| Authorized Official Name and Position | Alicia Kimball (CEO) |
| Authorized Official Contact | 8472207603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Kimball Lcsw Glcma Pllc 1901 N Roselle Rd Ste 800 Schaumburg IL 60195-3186 Ph: (847) 220-7603 | Alicia Kimball Lcsw Glcma Pllc 1901 N Roselle Rd Ste 800 Schaumburg IL 60195-3186 Ph: (847) 220-7603 |
| NPI Number | 1366026395 |
|---|---|
| Provider Enumeration Date | 05/06/2021 |
| Last Update Date | 05/05/2023 |
| Certification Date | 05/05/2023 |
| Medicare PECOS PAC ID | 8123476371 |
|---|---|
| Medicare Enrollment ID | O20231128002621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366026395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Alicia M Kimball |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063883957 PECOS PAC ID: 6204146442 Enrollment ID: I20151030000984 |
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