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Search › Illinois › 103TS0200X

Kevin Chadwick-Fisher, SSP

NPI 1659985810 · on the registry since 2020

Practice

Address
2411 Pathways Xing
Belleville, IL 62221
Phone
(618) 355-4724
Organisation at this address
Belleville Area Special Services Cooperative
Belleville Area Special Services Cooperative
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-04

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