| Kjp Alliance Llc | |
|
16595 W Easton Ave Ste 1 Lincolnshire IL 60069-2744 | |
| (847) 242-1669 | |
| (847) 242-1669 |
| Full Name | Kjp Alliance Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 16595 W Easton Ave Ste 1, Lincolnshire, Illinois |
| Authorized Official Name and Position | David Schaefer (DIRECTOR) |
| Authorized Official Contact | 7733506560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kjp Alliance Llc 136 Park Dr Port Barrington IL 60010-1031 Ph: (773) 350-6560 | Kjp Alliance Llc 16595 W Easton Ave Ste 1 Lincolnshire IL 60069-2744 Ph: (847) 242-1669 |
| NPI Number | 1417556283 |
|---|---|
| Provider Enumeration Date | 10/22/2020 |
| Last Update Date | 10/22/2020 |
| Certification Date | 10/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417556283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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