Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Luckett

Individual provider Counselor · NPI 1477322626

Kimberly Luckett is a Counselor in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
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Practice location Address checks out

10111 S Vernon Ave
Chicago, IL 60628-2235
Phone: (773) 220-9215
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Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 1780147127 (IL)

Record details

NPI number1477322626
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 29, 2023
Last updated in NPPESDecember 29, 2023
Certification dateDecember 29, 2023
Mailing address7715 S Cottage Grove Ave Unit 198884, Chicago, IL 60619-2082

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