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Search › Illinois › 1041C0700X

Jake Kelow, LSW/CADC/ATE/COPD I

NPI 1033981089 · on the registry since 2023

Practice

Address
411 Madison St
Maywood, IL 60153
Phone
(708) 450-3500
Organisation at this address
Plcca,Inc.
Plcca, Inc.
Proviso Leyden Council For Community Action
Proviso-Leyden Council For Community Action Inc
Proviso-Leyden Council For Community Action Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois