Peyton Randolph Keller in Chicago - Mental Health
Peyton Randolph Keller - NPI 1477574788
Peyton Randolph Keller is a Mental Health in Chicago, Illinois. Peyton Randolph Keller practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Peyton Randolph Keller is 1477574788. The last update date is 2007-07-08.
Peyton Randolph Keller's current location address is 1310 N Ritchie Ct, Chicago, Illinois. You can contact this provider via phone number 7082024952 and fax number 7082024954. The mailing address for Peyton Randolph Keller is 1310 N Ritchie Ct, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Peyton Randolph Keller |
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Address | 1310 N Ritchie Ct, Chicago, Illinois |
Phone Number | 7082024952 |
Fax Number | 7082024954 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1477574788 |
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Provider Enumeration Date | 2006-07-21 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1310 N Ritchie Ct |
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City | Chicago |
State | Illinois (IL) |
Post Code | 606102168 |
Phone Number | 7082024952 |
Fax Number | 7082024954 |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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Taxonomy | 101Ym0800X |
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identifier code assigned to Peyton Randolph Keller by the Centers for Medicare & Medicaid Services?
The Peyton Randolph Keller has been issued the NPI (National Provider Identifier) 1477574788 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Peyton Randolph Keller located?
The Peyton Randolph Keller is located at 1310 N Ritchie Ct, Chicago, IL 606102168.
What is the Peyton Randolph Keller's area of specialization and corresponding taxonomy classification?
The Peyton Randolph Keller's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477574788 to Peyton Randolph Keller?
The Centers for Medicare & Medicaid Services originally issued the 1477574788 to Peyton Randolph Keller on 2006-07-21.
When was the information regarding Peyton Randolph Keller most recently updated?
The details pertaining to the Peyton Randolph Keller, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.