| Kb Psychological Practice, Pc | |
|
7010 S Union Ave Chicago IL 60621-2418 | |
| (708) 925-4523 | |
| (855) 727-4855 |
| Full Name | Kb Psychological Practice, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 7010 S Union Ave, Chicago, Illinois |
| Authorized Official Name and Position | Kimberly L Baker (PRESIDENT / OWNER) |
| Authorized Official Contact | 7089254523 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kb Psychological Practice, Pc 1824 Cambridge Ave Flossmoor IL 60422-2132 Ph: (708) 925-4523 | Kb Psychological Practice, Pc 7010 S Union Ave Chicago IL 60621-2418 Ph: (708) 925-4523 |
| NPI Number | 1063883395 |
|---|---|
| Provider Enumeration Date | 10/13/2015 |
| Last Update Date | 08/25/2016 |
| Medicare PECOS PAC ID | 7618287483 |
|---|---|
| Medicare Enrollment ID | O20151106000241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063883395 | NPI | - | NPPES |
| 071.008142 | Other | IL | PROFESSIONAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.00142 (Illinois) | Primary |
| Provider Name | Kimberly L Sanders |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497034961 PECOS PAC ID: 9830357532 Enrollment ID: I20120227000812 |
| Provider Name | Kevin Allan Kelsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801355540 PECOS PAC ID: 2466793559 Enrollment ID: I20190418002101 |
| Provider Name | Carol A Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184722944 PECOS PAC ID: 9032449400 Enrollment ID: I20190927000500 |
| Provider Name | Juliane K Klinke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861936478 PECOS PAC ID: 4284915224 Enrollment ID: I20210624001775 |
| Provider Name | Francesco G Adamo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831479773 PECOS PAC ID: 6103260286 Enrollment ID: I20240216001040 |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
Amy Lynn, Lcpc, Atr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3020 N Lincoln Ave, Flourish Studios, Chicago, IL 60657 Phone: 773-746-7429 | |
K.a.m Alliance, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2215 W 95th St Ste 100, Chicago, IL 60643 Phone: 773-239-9600 Fax: 773-239-9601 | |
King Community Mental Health Center Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4455 S King Drive, Suite 101, Chicago, IL 60653 Phone: 773-536-2700 Fax: 773-751-2250 | |
Young Adult Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4219 N Lincoln Ave, Chicago, IL 60618 Phone: 773-572-5500 Fax: 773-537-3488 | |
Professional Diagnostic Service, S.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 W Van Buren St, Chicago, IL 60607 Phone: 312-491-0404 Fax: 312-491-0505 | |
Universal Medical Group Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 E 42nd Pl, Chicago, IL 60653 Phone: 773-285-3422 |