Individual
MRS. KATHLEEN E KESSELRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW BCD
Contact information
Practice address
103 HAVEN ROAD, SUITE 5, ELMHURST, IL 60126-2973
(630) 782-6067
Mailing address
103 HAVEN ROAD, SUITE 5, ELMHURST, IL 60126-2973
(630) 782-6067
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02222628
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/02/2006
Last updated
07/08/2007
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