Provider Demographics
NPI:1497284996
Name:PKK SERVICES INC.
Entity Type:Organization
Organization Name:PKK SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:KENDALL
Authorized Official - Last Name:KOOS
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LCSW
Authorized Official - Phone:630-234-0466
Mailing Address - Street 1:3380 LACROSSE LN STE 101
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-8528
Mailing Address - Country:US
Mailing Address - Phone:630-234-0466
Mailing Address - Fax:630-216-6223
Practice Address - Street 1:3380 LACROSSE LN STE 101
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-8528
Practice Address - Country:US
Practice Address - Phone:630-234-0466
Practice Address - Fax:630-216-6223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0073221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty