Search › Illinois › 103G00000X
Kenneth Vicencio, PSYD
NPI 1891211710 · on the registry since 2017
Practice
- Address
- 10730 W 143rd St Ste 37
Orland Park, IL 60462 - Phone
- (800) 564-0863
- Organisation at this address
- Keifer Neuropsychology, Llc
Beyond Physical Therapy, Pllc
Logan & Associates Counseling Services PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 1110 W Lake Cook Rd Ste 355, Buffalo Grove, IL
Registry record
- Primary taxonomy
- 103G00000X
103G00000X
- Also registered as
- 103G00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-27
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