Individual
ALEKS KICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 WAUKEGAN RD STE 295, BANNOCKBURN, IL 60015-5507
(847) 577-1501
Mailing address
1509 TOPP LN APT 8, GLENVIEW, IL 60025-2129
(872) 235-5410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149020247
IL
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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