Organization
KIVA RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN AARON (PRESIDENT)
(224) 470-2044
Entity
Organization
Contact information
Practice address
935 LAKEVIEW PARKWAY, SUITE 101, VERNON HILLS, IL 60061
(847) 549-1500
Mailing address
5611 DEMPSTER, C/O DAMZN HEALTHCARE, MORTON GROVE, IL 60053
(224) 470-2044
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-6962-0001-A
IL
Other
Enumeration date
12/27/2012
Last updated
12/21/2015
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