MEDICARE: DAVID KEMP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	26544	IL

General Provider Information

NPI Number	:	1447660501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID KEMP

Provider Business Mailing Address
First Line	:	3936 W ROOSEVELT RD
Second Line	:	SUITE 201
City	:	CHICAGO
State	:	IL
Zip	:	60624-4389
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3936 W ROOSEVELT RD
Second Line	:	SUITE 201
City	:	CHICAGO
State	:	IL
Zip	:	60624-4389
Country	:	US
Telephone Number	:	773-826-0398
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2014
Last Update Date	:	04/29/2014

Similar Medicare Providers

1609108539 — DEER REHABILITATION SERVICES INC
Practice Location Address:

3936 W ROOSEVELT RD
CHICAGO, IL
60624-4389

Practice Phone: 773-826-0398
Practice Fax: 773-826-2327

1720498769 — MR. PAUL THOMAS EVANS CADC
Practice Location Address:

3936 W ROOSEVELT RD , SUITE 2
CHICAGO, IL
60624-4389

Practice Phone: 773-826-0398
Practice Fax:

1821408899 — MRS. MARCIA MALCOLM-REED MA, CRADC
Practice Location Address:

3936 W ROOSEVELT RD , SUITE 2
CHICAGO, IL
60624-4389

Practice Phone: 773-826-0398
Practice Fax:

1902216906 — JAMES MCGREW
Practice Location Address:

3936 W ROOSEVELT RD , SUITE 201
CHICAGO, IL
60624-4389

Practice Phone: 773-826-0398
Practice Fax:

1598175598 — ELISE CARRIE BOLDEN-BAILEY CADC
Practice Location Address:

3936 W ROOSEVELT RD , SUITE 2
CHICAGO, IL
60624-4389

Practice Phone: 773-826-0398
Practice Fax: 773-826-2327

1588054704 — DEER REHABILITATION SERVICES INC.
Practice Location Address:

3936 W ROOSEVELT RD
CHICAGO, IL
60624-4389

Practice Phone: 773-826-0398
Practice Fax:

Directions to “ DAVID KEMP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.