Individual
KENJI KURAMITSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3948 N SHERIDAN RD, CHICAGO, IL 60613-2935
(773) 388-1600
Mailing address
4025 N SHERIDAN RD, CHICAGO, IL 60613-2010
(773) 388-1600
(773) 388-8939
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150104754
IL
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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