Organization
KMETKO & ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE KAUFMAN LCSW (INTERSTATE SERVICES SUPERVISOR)
(773) 561-6196
Entity
Organization
Contact information
Practice address
4043 N RAVENSWOOD AVE STE 121, CHICAGO, IL 60613-1176
(773) 561-6196
(773) 687-9812
Mailing address
4043 N RAVENSWOOD AVE STE 121, CHICAGO, IL 60613-1176
(773) 561-6196
(773) 687-9812
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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