Organization
MEL KIMMEL PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN JOEL KIMMEL PHD (CLINICAL PSYCHOLOGIST)
(312) 344-1082
Entity
Organization
Contact information
Practice address
333 N MICHIGAN AVE, SUITE 711, CHICAGO, IL 60601-3901
(312) 344-1082
(312) 674-7195
Mailing address
1649 W WINONA ST, CHICAGO, IL 60640-2707
(312) 344-1082
(312) 674-7195
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008204
IL
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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