Organization
KI PSYCHIATRY
Active
Other names
Ki Psych
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL ISCHAR PMHNP-BC (CEO/FOUNDER)
(630) 201-1533
Entity
Organization
Contact information
Practice address
1990 LARKIN AVE STE 3, ELGIN, IL 60123-5827
(630) 201-1533
(636) 764-5997
Mailing address
1990 LARKIN AVE # C3, ELGIN, IL 60123-5827
(630) 528-0736
(636) 764-5997
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801434733
PHYSICIAN SERVICES
IL
05
—
1801434733
—
IL
Enumeration date
05/21/2022
Last updated
05/30/2023
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