SearchIllinois1041C0700X

Keisha Walker-Mathew, LCSW

NPI 1962157248 · on the registry since 2022 · sole proprietor

Practice

Address
5113 S Harper Ave Ste 2c
Chicago, IL 60615
Phone
(872) 763-4405
Organisation at this address
Meddoc 40 Llc
Mellow Mind Llc
Rarejem Care Inc
Aaac Corporation
Ljt Therapeutics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
56

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-02

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