Provider Demographics
NPI:1558428870
Name:KERR, TERRILYN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:TERRILYN
Middle Name:
Last Name:KERR
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 N HALSTED ST STE 505
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-9270
Mailing Address - Country:US
Mailing Address - Phone:773-388-8757
Mailing Address - Fax:312-957-4485
Practice Address - Street 1:3000 N HALSTED ST STE 505
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-9270
Practice Address - Country:US
Practice Address - Phone:773-388-8757
Practice Address - Fax:312-957-4485
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL32-0140216103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02232711OtherBCBS PROVIDER NUMBER