Provider Demographics
NPI:1225091648
Name:KEMPS, STEVEN M (LAC)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:M
Last Name:KEMPS
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 N SEMINARY AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-4263
Mailing Address - Country:US
Mailing Address - Phone:773-327-7471
Mailing Address - Fax:773-327-7471
Practice Address - Street 1:3040 N SEMINARY AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-4263
Practice Address - Country:US
Practice Address - Phone:773-327-7471
Practice Address - Fax:773-327-7471
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist