| Jaclyn Kamradt Phd, P.c. | |
|
2081 Calistoga Dr Ste 2n New Lenox IL 60451-4833 | |
| (708) 373-9440 | |
| Not Available |
| Full Name | Jaclyn Kamradt Phd, P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2081 Calistoga Dr Ste 2n, New Lenox, Illinois |
| Authorized Official Name and Position | Jaclyn Kamradt (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7083739440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Kamradt Phd, P.c. 11545 Ashbury Ct Mokena IL 60448-9490 Ph: (708) 373-9440 | Jaclyn Kamradt Phd, P.c. 2081 Calistoga Dr Ste 2n New Lenox IL 60451-4833 Ph: (708) 373-9440 |
| NPI Number | 1396450706 |
|---|---|
| Provider Enumeration Date | 01/19/2023 |
| Last Update Date | 01/19/2023 |
| Certification Date | 01/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396450706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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