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Search › Illinois › 104100000X

Lazar Kizhakedan, LSW, CADC

NPI 1720358534 · on the registry since 2012 · sole proprietor

Practice

Address
3033 W Jefferson St
Suite 205
Joliet, IL 60435
Phone
(815) 773-6277
Organisation at this address
Havana Health,Llc
Addus Healthcare Inc
Joliet Doctors Clinic S.C.
Summit Center For Mental Health Inc
Connie Vaisvilas-Taylor & Associates In Counseling
Inferred from a shared address, not stated in the registry.
Clinicians at this address
32

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
101YA0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-01-10

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