Kimmons, Steven

Kimmons, Steven is an individual health care provider with primary practice located at 2160 S 1St Ave 101-1740 Loyola University Medical Center, Maywood IL 60153. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Kimmons, Steven can be contacted via phone (708) 216-9000.

Contact Information

Primary practice address
2160 S 1St Ave 101-1740 Loyola University Medical Center Maywood IL 60153
Phone: (708) 216-9000
Fax: (708) 216-9033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 71006500 Illinois

Profile Details

NPI number 1326012238
LBN Legal business name Kimmons, Steven
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326012238 NPPES
Illinois MEDICAID 71006500

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