| Kimberly Reevas, Llc | |
|
20500 S Lagrange Rd Ste 200s Frankfort IL 60423-1901 | |
| (574) 904-8552 | |
| Not Available |
| Full Name | Kimberly Reevas, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 20500 S Lagrange Rd Ste 200s, Frankfort, Illinois |
| Authorized Official Name and Position | Kimberly Lynn Reevas (OWNER) |
| Authorized Official Contact | 5749048552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Reevas, Llc 489 Cedar Ln Frankfort IL 60423-1003 Ph: (574) 904-8552 | Kimberly Reevas, Llc 20500 S Lagrange Rd Ste 200s Frankfort IL 60423-1901 Ph: (574) 904-8552 |
| NPI Number | 1750855664 |
|---|---|
| Provider Enumeration Date | 01/14/2019 |
| Last Update Date | 02/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750855664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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