Organization
KJP ALLIANCE LLC
Active
Other names
Ellis Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SCHAEFER LCPC (DIRECTOR)
(773) 350-6560
Entity
Organization
Contact information
Practice address
16595 W EASTON AVE STE 1, LINCOLNSHIRE, IL 60069-2744
(847) 242-1669
(847) 242-1669
Mailing address
136 PARK DR, PORT BARRINGTON, IL 60010-1031
(773) 350-6560
(847) 242-1669
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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