| Hiram Kirkendall | |
|
510 Geneva Ave Bellwood IL 60104-1706 | |
| (630) 697-8882 | |
| Not Available |
| Full Name | Hiram Kirkendall |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 510 Geneva Ave, Bellwood, Illinois |
| Authorized Official Name and Position | Hiram Kirkendall Kirkendall (COUNSELOR) |
| Authorized Official Contact | 6306978882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hiram Kirkendall 510 Geneva Ave Bellwood IL 60104-1706 Ph: () - | Hiram Kirkendall 510 Geneva Ave Bellwood IL 60104-1706 Ph: (630) 697-8882 |
| NPI Number | 1629496906 |
|---|---|
| Provider Enumeration Date | 04/03/2014 |
| Last Update Date | 04/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629496906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 178009377 (Illinois) | Primary |
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