KEVIN KHAMVONGSA

Community/Behavioral Health Agency

NPI: 1467907170Individual

Specialties, Licenses & Credentials

Community/Behavioral Health AgencyPrimary

Community/Behavioral Health

Code: 251S00000X

S4S8C5H5(IL)

Contact & Hours

Address: 145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
Phone: (815) 444-9999

Quick Facts

NPI: 1467907170
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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