Provider Demographics
NPI:1568074219
Name:DUNKINS, KHERI (MED, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:KHERI
Middle Name:
Last Name:DUNKINS
Suffix:
Gender:F
Credentials:MED, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 W JACKSON BLVD STE 840
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60604-3827
Mailing Address - Country:US
Mailing Address - Phone:630-580-8080
Mailing Address - Fax:
Practice Address - Street 1:53 W JACKSON BLVD STE 840
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60604-3827
Practice Address - Country:US
Practice Address - Phone:630-580-8080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-22
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.016200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional