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Organization

KC CARE INC

Active
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Organization

KC CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENNETH WILSON LCSW (HUMAN SERVICES DIRECTOR)
(773) 363-4000
Entity
Organization

Contact information

Practice address
1525 E 53RD ST, SUITE 932, CHICAGO, IL 60615-4557
(773) 363-4000
(773) 326-0871
Mailing address
1525 E 53RD ST, SUITE 932, CHICAGO, IL 60615-4557
(773) 363-4000
(773) 326-0871

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149010309
IL

Other

Enumeration date
12/13/2006
Last updated
12/01/2008
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