| Kaz Community Develpoment | |
|
12654 Maple Ave Blue Island IL 60406-1904 | |
| (708) 489-0001 | |
| (708) 489-0002 |
| Full Name | Kaz Community Develpoment |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 12654 Maple Ave, Blue Island, Illinois |
| Authorized Official Name and Position | Pagel Williams (DIRECTOR) |
| Authorized Official Contact | 7739367000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaz Community Develpoment 12654 Maple Ave Blue Island IL 60406-1904 Ph: (708) 489-0001 | Kaz Community Develpoment 12654 Maple Ave Blue Island IL 60406-1904 Ph: (708) 489-0001 |
| NPI Number | 1386906261 |
|---|---|
| Provider Enumeration Date | 06/15/2012 |
| Last Update Date | 06/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386906261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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