| Kimberly Kidders, | |
|
1845 Grandstand Pl, Elgin, IL 60123-6603 | |
| (847) 695-0484 | |
| Not Available |
| Full Name | Kimberly Kidders |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1845 Grandstand Pl, Elgin, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023506615 | NPI | - | NPPES |
| Entity Name | Ecker Center for Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982787693 PECOS PAC ID: 0941252423 Enrollment ID: O20050214000326 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Kidders, 435 Village Creek Dr, Lake In The Hills, IL 60156-4810 Ph: (708) 217-0330 | Kimberly Kidders, 1845 Grandstand Pl, Elgin, IL 60123-6603 Ph: (847) 695-0484 |
Dr. Anthony Dillard Sr., NCRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 995 Bode Rd, Elgin, IL 60120 Phone: 224-238-3279 Fax: 224-238-3279 |
Bethany Ann Henrichs, Counselor Medicare: Accepting Medicare Assignments Practice Location: 695 S State St, Elgin, IL 60123 Phone: 847-931-6200 |
Eliza K Adams, MS Counselor Medicare: Accepting Medicare Assignments Practice Location: 164 Division St Ste 202, Elgin, IL 60120 Phone: 224-431-8000 |
Katrin Schlicht, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1845 Grandstand Pl, Elgin, IL 60123 Phone: 847-695-0484 |
Voichita Moldovan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 164 Division St Ste 607, Elgin, IL 60120 Phone: 847-217-9797 |
Mr. Mark Allen Miller, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1845 Grandstand Pl, Elgin, IL 60123 Phone: 847-695-0484 Fax: 847-760-0856 |
Nelson Eduardo Acevedo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1475 Royal Blvd, Elgin, IL 60123 Phone: 847-802-2480 |