Kenneth Edwards
Kenneth Edwards is a Community/Behavioral Health Agency in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2016.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
2133 W Thomas StChicago, IL 60622-3629
Phone: (214) 662-1060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 180010430 (IL) |
|---|
Record details
| NPI number | 1043764897 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Edwards — Therapist · (214) 662-1040 |
| NPI enumerated | August 10, 2016 |
| Last updated in NPPES | August 10, 2016 |
| Mailing address | 2133 W Thomas St, Chicago, IL 60622-3629 |
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