| Kiebles Psychology Services Llc | |
|
615 W Front St Wheaton IL 60187-5039 | |
| (630) 923-7814 | |
| Not Available |
| Full Name | Kiebles Psychology Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 615 W Front St, Wheaton, Illinois |
| Authorized Official Name and Position | Jennifer L Kiebles (OWNER) |
| Authorized Official Contact | 7738957490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiebles Psychology Services Llc 0s065 River Ln Winfield IL 60190-1208 Ph: (773) 895-7490 | Kiebles Psychology Services Llc 615 W Front St Wheaton IL 60187-5039 Ph: (630) 923-7814 |
| NPI Number | 1699430967 |
|---|---|
| Provider Enumeration Date | 11/02/2021 |
| Last Update Date | 11/02/2021 |
| Medicare PECOS PAC ID | 4880085091 |
|---|---|
| Medicare Enrollment ID | O20211223001140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699430967 | NPI | - | NPPES |
| 1598067886 | Other | IL | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jennifer Lea Kiebles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598067886 PECOS PAC ID: 0840425427 Enrollment ID: I20211223001138 |
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