Kaz Community Develpoment

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

KAZ COMMUNITY DEVELPOMENT

Practice address

12654 Maple Ave
Blue Island, IL 60406-1904

Phone

(708) 489-0001

Fax

(708) 489-0002

NPI assigned

Jun 15, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pagel Williams Sr.

Title

Director

Phone

(773) 936-7000

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1386906261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12654 MAPLE AVE",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061904",
            "telephone_number": "708-489-0001",
            "fax_number": "708-489-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12654 MAPLE AVE",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061904",
            "telephone_number": "708-489-0001",
            "fax_number": "708-489-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAZ COMMUNITY DEVELPOMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PAGEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-936-7000",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Kaczanowski, OTR/L
• Kaleidoscope Inc.
• Seth Kaplan, M.D.
• Katie Karner
• Sandra Kawczynski
• Amanda Keenan, LCSW
• Noreen B Keleher, PA-C
• Erin Marie Kelly, LCPC
• Meghan Kelly, LCSW
• Sundoz Kesbeh, DDS

• Clinical Neuropsychologist in Blue Island, IL
• Providers in Blue Island, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.