Individual
DR. KEENA PEEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
100 W ROOSEVELT RD, B5-203, WHEATON, IL 60187-5260
(630) 221-0600
(630) 221-0606
Mailing address
100 W ROOSEVELT RD, B5-203, WHEATON, IL 60187-5260
(630) 221-0600
(630) 221-0606
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006625
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002225381
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/17/2006
Last updated
04/04/2013
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