ROBERT KENYON
NPI 1417763707
Counselor - Mental Health in Chicago, IL
Active since December 10, 2024
About Robert Kenyon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERT KENYON (NPI 1417763707) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since December 2024.
NPPES Registry Identity
NPI1417763707
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameROBERT KENYON
Location Address1902 W CERMAK RDChicago, IL 60608-4204
Mailing Address1801 Watermark Dr Ste 200Columbus, OH 43215-7088 · (614) 487-8758 · Fax (614) 487-8759
Phone(773) 596-9045
Sole ProprietorYes
Enumeration DateDecember 10, 2024
NPPES CertifiedDecember 10, 2024
✔ NPI 1417763707 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1902 W CERMAK RD, Chicago, IL 60608
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417763707, enumerated as an "individual" on December 10, 2024.
The provider is located at 1902 W CERMAK RD CHICAGO, IL 60608 and the phone number is (773) 596-9045.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
