Individual
DR. AMR E. ABDEL KIREEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
2255 LOIS DR, ROLLING MEADOWS, IL 60008-4134
(815) 494-2451
Mailing address
3951 GEORGETOWN CIR, ALGONQUIN, IL 60102-6206
(815) 494-2451
(847) 310-3518
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180.011085
IL
101YP2500X
Professional Counselor
Primary
180.011085
IL
103T00000X
Psychologist
180.011085
IL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
180.011085
IL
103TB0200X
Cognitive & Behavioral Psychologist
180.011085
IL
103TC0700X
Clinical Psychologist
180.011085
IL
103TF0000X
Family Psychologist
180.011085
IL
103TF0200X
Forensic Psychologist
180.011085
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EIN
STATE OF ILLINOIS
IL
Enumeration date
01/27/2016
Last updated
08/04/2020
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