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Kc Management Group

Social Worker, Clinical in Chicago, IL. Organization (NPI-2).

NPI number1760686752
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1760686752
Entity type
Organization (NPI-2)
Legal business name
Kc Management Group
Organization subpart
No
Enumeration date
Jun 13, 2007
Last updated
Aug 22, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical149010309ILYes

Practice location

1525 E 53rd St
932
Chicago, IL 60615-4557

Phone 773-363-4000 · Fax 773-326-0871

Mailing address

1525 E 53rd St
932
Chicago, IL 60615-4557

Phone 773-363-4000 · Fax 773-326-0871

Authorized official

Kenneth G Wilson
Human Services Director
7733634000

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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