Individual
KENNETH VICENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
10730 W 143RD ST STE 37, ORLAND PARK, IL 60462-1940
(800) 564-0863
Mailing address
10730 W 143RD ST STE 37, ORLAND PARK, IL 60462-1940
(800) 564-0863
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071009682
IL
103G00000X
Clinical Neuropsychologist
—
—
Other
Enumeration date
08/22/2017
Last updated
09/27/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us