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Individual

DR. LISA LEVY KEEL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PHD, MA, LCPC

Contact information

Practice address
1170 E BELVIDERE RD, SUITE 201, GRAYSLAKE, IL 60030-2061
(847) 548-0492
(847) 548-0537
Mailing address
PO BOX 524, GRAYSLAKE, IL 60030-0524
(847) 548-0492
(847) 548-0537

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04932460
BC/BS
IL
Enumeration date
06/05/2006
Last updated
07/08/2007
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