Individual
KEVIN CAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.ED.
Contact information
Practice address
1600 MADISON ST, EVANSTON, IL 60202-2036
(847) 372-8891
Mailing address
1600 MADISON ST, EVANSTON, IL 60202-2036
(847) 372-8891
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
IL
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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