Provider Demographics
NPI:1821982513
Name:DYER, KERI LEE (LSW, MSW, MED)
Entity type:Individual
Prefix:MRS
First Name:KERI
Middle Name:LEE
Last Name:DYER
Suffix:
Gender:F
Credentials:LSW, MSW, MED
Other - Prefix:
Other - First Name:KERI
Other - Middle Name:LEE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:1491 BERTA DR
Mailing Address - Street 2:
Mailing Address - City:CREST HILL
Mailing Address - State:IL
Mailing Address - Zip Code:60403-0914
Mailing Address - Country:US
Mailing Address - Phone:815-791-6725
Mailing Address - Fax:
Practice Address - Street 1:123 E 9TH ST STE 1B
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:IL
Practice Address - Zip Code:60441-3691
Practice Address - Country:US
Practice Address - Phone:708-869-0333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150116250104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker