Ristau, Kelly

Ristau, Kelly is an individual health care provider with primary practice located at 101 N Marion St Ste 313 , Oak Park IL 60301-1023. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ristau, Kelly can be contacted via phone (708) 320-1441.

Contact Information

Primary practice address
101 N Marion St Ste 313 Oak Park IL 60301-1023
Phone: (708) 320-1441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY.0005262 Colorado
Behavioral Health & Social Service Providers / Forensic 103TF0200X PSY.0005262 Colorado
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071.009856 Illinois
Behavioral Health & Social Service Providers / Forensic 103TF0200X 071.009856 Illinois

Profile Details

NPI number 1467174540
LBN Legal business name Ristau, Kelly
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2022
Last updated Dec 14th, 2022 - about 3 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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