Patricia Kimbel Psyd PC
Psychologist, Clinical in Libertyville, IL. Organization (NPI-2).
NPI number1215696752
StatusActive
Last updated in NPPESDec 13, 2021
Details
- NPI
- 1215696752
- Entity type
- Organization (NPI-2)
- Legal business name
- Patricia Kimbel Psyd PC
- Organization subpart
- No
- Enumeration date
- Dec 13, 2021
- Certification date
- Dec 13, 2021
- Last updated
- Dec 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Practice location
1580 S Milwaukee Ave Ste 309Libertyville, IL 60048-3773
Phone 773-490-7778
Mailing address
3854 N Ridgeway AveChicago, IL 60618-4014
Phone 773-490-7778
Authorized official
Patricia Kimbel
President
7734907778
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