Organization
CHILD PSYCHIATRIC SERVICES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER KEK (ADMINISTRATOR)
(847) 251-1046
Entity
Organization
Contact information
Practice address
495 CENTRAL AVE, SUITE 203, NORTHFIELD, IL 60093-3044
(847) 251-1046
(847) 789-7172
Mailing address
PO BOX 82, KENILWORTH, IL 60043-0082
(847) 251-1046
(847) 789-7172
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
036-108993
IL
Other
Enumeration date
04/14/2008
Last updated
12/30/2014
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