| Kjl For Life, Inc | |
|
211 Kenmore Ave Deerfield IL 60015-4744 | |
| (847) 494-1946 | |
| Not Available |
| Full Name | Kjl For Life, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 211 Kenmore Ave, Deerfield, Illinois |
| Authorized Official Name and Position | Kimberly J Lazarus (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8474941946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kjl For Life, Inc 211 Kenmore Ave Deerfield IL 60015-4744 Ph: (847) 494-1946 | Kjl For Life, Inc 211 Kenmore Ave Deerfield IL 60015-4744 Ph: (847) 494-1946 |
| NPI Number | 1538094164 |
|---|---|
| Provider Enumeration Date | 06/15/2026 |
| Last Update Date | 06/28/2026 |
| Certification Date | 06/28/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538094164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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