Provider Demographics
NPI:1275685380
Name:KREMPP PSYCHOLOGICAL SERVICES, P.C.
Entity Type:Organization
Organization Name:KREMPP PSYCHOLOGICAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:KREMPP
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:815-577-0278
Mailing Address - Street 1:13300 S ROUTE 59
Mailing Address - Street 2:C4
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-9847
Mailing Address - Country:US
Mailing Address - Phone:815-577-0278
Mailing Address - Fax:815-577-6292
Practice Address - Street 1:13300 S ROUTE 59
Practice Address - Street 2:C4
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-9847
Practice Address - Country:US
Practice Address - Phone:815-577-0278
Practice Address - Fax:815-577-6292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL468433Medicare UPIN
IL9932004Medicare UPIN
IL211257Medicare ID - Type Unspecified