Kmetko & Associates, LTD.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

KMETKO & ASSOCIATES, LTD.

Practice address

4043 N Ravenswood Ave Ste 121
Chicago, IL 60613-1176

Phone

(773) 561-6196

Fax

(773) 687-9812

NPI assigned

May 7, 2020

Organization subpart

No

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

Authorized official

Name

Laurie Kaufman, LCSW

Title

Interstate Services Supervisor

Phone

(773) 561-6196

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1689296162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4043 N RAVENSWOOD AVE STE 121",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131176",
            "telephone_number": "773-561-6196",
            "fax_number": "773-687-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4043 N RAVENSWOOD AVE STE 121",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131176",
            "telephone_number": "773-561-6196",
            "fax_number": "773-687-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMETKO & ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "INTERSTATE SERVICES SUPERVISOR",
        "authorized_official_telephone_number": "773-561-6196",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krzysztof Kluzowski
• Deborah Klyczek, OTR/L
• KM Surgical, P.C.
• KM Williams MD SC
• Omar Kmala
• KMH Counseling and Consulting
• Magdalena Kmiecik, LSW
• Michele Knabe, D.D.S
• Karoline Knable, APRN
• Knapp Medical Center, LTD.

• Adolescent and Children Mental Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adolescent and Children Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.