Organization
KEIFER NEUROPSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EKATERINA KEIFER PHD (MEMBER)
(319) 321-5794
Entity
Organization
Contact information
Practice address
10730 W 143RD ST, SUITE 37, ORLAND PARK, IL 60462-1939
(319) 321-5794
Mailing address
14730 CENTRAL AVE, APT. A213, OAK FOREST, IL 60452-1269
(319) 321-5794
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071.008402
IL
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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