Individual
MR. DENNIS LEE KEPPELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
727 N HOMAN AVE, CHICAGO, IL 60624-1431
(708) 601-6122
Mailing address
727 N HOMAN AVE, CHICAGO, IL 60624-1431
(708) 601-6122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.014354
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/26/2007
Last updated
11/23/2010
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