Provider Demographics
NPI:1891528956
Name:NK PSYCHOLOGICAL SERVICES INC
Entity type:Organization
Organization Name:NK PSYCHOLOGICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUWILANJI
Authorized Official - Middle Name:
Authorized Official - Last Name:KUEZI-NKE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:708-887-9438
Mailing Address - Street 1:4811 S KIMBARK AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-1915
Mailing Address - Country:US
Mailing Address - Phone:708-887-9438
Mailing Address - Fax:
Practice Address - Street 1:4811 S KIMBARK AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-1915
Practice Address - Country:US
Practice Address - Phone:708-887-9438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty