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NPI Code Detail

MEDICARE: KAILEY KOVAS

MEDICARE: KAILEY KOVAS
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1477396240
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAILEY KOVAS
Provider Business Mailing Address
First Line : 14421 S WALLIN DR
Second Line :
City : PLAINFIELD
State : IL
Zip : 60544-2502
Country : US
Telephone Number : 331-625-3059
Fax Number :
Provider Business Practice Location Address
First Line : 1233 W ADAMS ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2801
Country : US
Telephone Number : 312-243-8487
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2024
Last Update Date : 02/25/2026

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Directions to “ KAILEY KOVAS ” Practice Location

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