MEDICARE: DR. KIMBERLY J CHIVERS PSY.D.

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	101YP2500X	Professional Counselor	180008812	IL
2	103TC0700X	Clinical Psychologist	071007991	IL

General Provider Information

NPI Number	:	1821427204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY J CHIVERS PSY.D.

Provider Business Mailing Address
First Line	:	5315 N CLARK ST # 319
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-2290
Country	:	US
Telephone Number	:	708-655-3835
Fax Number	:

Provider Business Practice Location Address
First Line	:	5412 N CLARK ST STE 204
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-1272
Country	:	US
Telephone Number	:	708-655-3835
Fax Number	:

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

Provider Enumeration Date	:	11/05/2013
Last Update Date	:	11/05/2013

Similar Medicare Providers

1336235829 — MS. SHEILA DAWN HANRAHAN MSW LCPC
Practice Location Address:

5412 N CLARK ST SUITE 201 , SUITE 201
CHICAGO, IL
60640-1272

Practice Phone: 773-275-3300
Practice Fax:

1154684652 — MS. KANIKA NAVNEET SHUKUL LCPC
Practice Location Address:

5412 N CLARK ST STE 220
CHICAGO, IL
60640-1272

Practice Phone: 773-606-5303
Practice Fax:

1568867398 — ANDERSONVILLE COUNSELING CENTER, LLC
Practice Location Address:

5412 N CLARK ST , SUITE 210
CHICAGO, IL
60640-1272

Practice Phone: 847-331-4600
Practice Fax: 773-409-5590

1124403100 — JONATHAN SMITH PSYD
Practice Location Address:

5412 N CLARK ST STE 220
CHICAGO, IL
60640-1272

Practice Phone: 773-985-8746
Practice Fax:

1962924829 — ANDERSONVILLE PSYCHOLOGY, PC
Practice Location Address:

5412 N CLARK ST STE 220
CHICAGO, IL
60640-1272

Practice Phone: 773-985-8746
Practice Fax:

1760463772 — DR. GEORGE A. DEMEROS DDS
Practice Location Address:

5400 N MILWAUKEE AVE
CHICAGO, IL
60630-1272

Practice Phone: 847-508-0101
Practice Fax: 847-842-1463

Directions to “ DR. KIMBERLY J CHIVERS PSY.D.” 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 © 2007-2026 (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.