Individual
KIMIYA SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 LAKE ST, OAK PARK, IL 60301-1015
(872) 205-6121
Mailing address
1100 LAKE ST, OAK PARK, IL 60301-1015
(872) 205-6121
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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