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NPI Code Detail

MEDICARE: DR. ELIZABETH FAYE KIEFF M.D.

MEDICARE:  DR. ELIZABETH FAYE KIEFF  M.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
12084P0800XPsychiatry Physician036.118089IL

General Provider Information

NPI Number : 1871760116
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH FAYE KIEFF M.D.
Provider Business Mailing Address
First Line : 5744 S KIMBARK AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60637-1615
Country : US
Telephone Number : 773-490-9545
Fax Number :
Provider Business Practice Location Address
First Line : 1525 E 53RD ST STE 806
Second Line :
City : CHICAGO
State : IL
Zip : 60615-4572
Country : US
Telephone Number : 312-945-0650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2008
Last Update Date : 05/30/2023

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Directions to “ DR. ELIZABETH FAYE KIEFF M.D.” Practice Location

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