KMETKO & ASSOCIATES, LTD. (NPI# 1689296162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689296162 |
| Entity Type | Organization |
| Organization Name | KMETKO & ASSOCIATES, LTD. |
| Practice Address |
4043 N Ravenswood Ave Ste 121 Chicago IL 60613-1176 |
| Practice Telephone | 7735616196 |
| Practice Fax Number | 7736879812 |
| Mailing Telephone | 7735616196 |
| Mailing Fax Number | 7736879812 |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |
| Authorized Official Name | LAURIE KAUFMAN (INTERSTATE SERVICES SUPERVISOR) |
| Authorized Official Telephone | 7735616196 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
4043 N RAVENSWOOD AVE STE 121 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60613-1176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1760034128 | Maryellen Karas Lajeunesse | Social Worker | 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 | 2019-07-15 |
| 1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
| 1487154191 | Alan Tsang | Counselor | 655 W Irving Park Rd Ste 203, Chicago, IL 60613 | 2018-02-19 |
| 1972015782 | Integrated Ortho, LLC. | Durable Medical Equipment & Medical Supplies | 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 | 2017-11-02 |
| 1073048005 | Claire Jolly | Social Worker | 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 | 2017-04-27 |
| 1730626011 | Marc Fagan | Psychologist | 4101 N Ravenswood Ave., Chicago, IL 60613 | 2017-01-25 |
| 1205385671 | Sara Turner | Psychologist | 3855 N Greenview Ave # 2a, Chicago, IL 60613 | 2016-09-27 |
| 1962955997 | Michelle Montero | Psychologist | 925 W Dakin St Apt 405, Chicago, IL 60613 | 2016-07-26 |
| 1063883494 | Athletico, Ltd | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
| Find all providers in zip 60613 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035709 | Ellen M Griffin Psyd PC | Clinic/Center | 155 N Michigan Ave Ste 512, Chicago, IL 60601-7612 | 2020-02-20 |
| 1962034488 | Global Executive Council Services | Clinic/Center | 5766 N Lincoln Ave Ste 4s, Chicago, IL 60659-4734 | 2020-02-12 |
| 1366082232 | Westcare Illinois, Inc | Clinic/Center | 1100 W Cermak Rd Ste B116, Chicago, IL 60608-4540 | 2020-01-08 |
| 1689223992 | Hannah Newman, Lcsw LLC | Clinic/Center | 3111 W Armitage Ave Fl 2, Chicago, IL 60647-3818 | 2019-09-09 |
| 1710468533 | Rehs Counseling | Clinic/Center | 1286 N Milwaukee Ave Ste 7, Chicago, IL 60622-9319 | 2018-08-29 |
| 1568959187 | Laura Anderson, LLC | Clinic/Center | 2000 N Racine Ave Ste 2130, Chicago, IL 60614-4045 | 2018-04-19 |
| 1013414150 | Gro Community | Clinic/Center | 11004 S Michigan Ave, Chicago, IL 60628-4309 | 2018-04-06 |
| 1457796385 | Private Practice | Clinic/Center | 76 E 89th Pl, Chicago, IL 60619-6607 | 2013-05-06 |
| 1154647089 | Kids Above All | Clinic/Center | 2808 W Chicago Ave, Chicago, IL 60622-7833 | 2010-04-16 |
| 1336329663 | Karen Pierce Mdpc | Clinic/Center | 2634 N Dayton St, Chicago, IL 60614-2306 | 2007-11-03 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.