Active NPI
Daniel J Kill, LCSW
- Clinical Social Worker
- Oak Park, IL
National Provider Identifier
1295741734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149001918
- Practice address
- 1101 Lake St
Suite 405 H
Oak Park, IL 60301-1085 - Phone
- (708) 432-6805
- Fax
- (888) 601-0184
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149001918 | IL | Primary |
Addresses
Primary practice location
1101 Lake St
Suite 405 H
Oak Park, IL 60301-1085
Mailing address
1506 Forest Rd
La Grange Park, IL 60526-1125
Phone (708) 261-7423
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IL4144 | Other | IL | AETNA BETTER HEALTH |
| P008648 | Other | IL | INTEGRATED INSIGHTS/HHRC |
| 01627100 | Other | IL | BLUE CROSS BLUE SHIELD IL |
| 2229271 | Other | IL | COMPSYCH |
| 82307 | Other | IL | FIRST HEALTH/COVENTRY |
| 088366 | Other | IL | MHN |
| 2235893 | Other | IL | CIGNA |
| 5651644 | Other | IL | AETNA |
| 79924 | Other | IL | HFN |
| 219851757 | Other | IL | UNITED BEHAVIORAL HEALTH |
| KILDANI | Other | IL | LIFESYNC/HUMANA |
| M008648 | Other | IL | HORIZON |
| 099093000 | Other | IL | MAGELLAN BEHAVIORAL HEALT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149001918 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451692800000",
"number": "1295741734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 FOREST RD",
"city": "LA GRANGE PARK",
"state": "IL",
"postal_code": "605261125",
"telephone_number": "708-261-7423",
"fax_number": "888-601-0184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 LAKE ST",
"address_2": "SUITE 405 H",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011085",
"telephone_number": "708-432-6805",
"fax_number": "888-601-0184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILL",
"first_name": "DANIEL",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2016-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149001918",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BETTER HEALTH",
"identifier": "IL4144",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTEGRATED INSIGHTS/HHRC",
"identifier": "P008648",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD IL",
"identifier": "01627100",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "2229271",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH/COVENTRY",
"identifier": "82307",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "088366",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2235893",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5651644",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HFN",
"identifier": "79924",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "219851757",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIFESYNC/HUMANA",
"identifier": "KILDANI",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON",
"identifier": "M008648",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "099093000",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.