Individual
DR. KIMBERLY J CHIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5412 N CLARK ST STE 204, CHICAGO, IL 60640-1272
(708) 655-3835
Mailing address
5315 N CLARK ST # 319, CHICAGO, IL 60640-2290
(708) 655-3835
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180008812
IL
103TC0700X
Clinical Psychologist
Primary
071007991
IL
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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