Individual provider · NPI-1
Kenneth Close
Marriage & Family Therapist · Gurnee, IL
NPI number1124923255
StatusActive
Last updated in NPPESOct 9, 2026
Details
- NPI
- 1124923255
- Entity type
- Individual (NPI-1)
- Name
- Kenneth Close
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2026
- Certification date
- Oct 9, 2026
- Last updated
- Oct 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | – | – | Yes |
Practice location
1800 Nations Dr Ste 211Gurnee, IL 60031-9173
Phone 224-222-1510
Mailing address
1800 Nations Dr Ste 211Gurnee, IL 60031-9173
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