Individual
DR. SIS KIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
11416 GLENBROOK CIR, PLAINFIELD, IL 60585-2060
(630) 334-1913
Mailing address
11416 GLENBROOK CIR, PLAINFIELD, IL 60585-2060
(630) 334-1913
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-004555
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071004555
LIC
IL
Enumeration date
09/01/2010
Last updated
09/01/2010
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