Mr Peyton Randolph Keller, LCSW - Counselor in Hines, IL

Mr Peyton Randolph Keller, LCSW is a Counselor - Mental Health based in Hines, Illinois. Mr Peyton Randolph Keller is licensed to practice in Illinois (license number ) and his current practice location is 5th Avenue And Roosevelt Rd., Hines, Illinois. He can be reached at his office (for appointments etc.) via phone at (708) 202-4952.

NPI number for Mr Peyton Randolph Keller is 1477574788 and his current mailing address is 1310 N Ritchie Ct, Apt. 15c, Chicago, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477574788.

Contact Information

Mr Peyton Randolph Keller, LCSW
5th Avenue And Roosevelt Rd.,
Hines, IL 60641
(708) 202-4952
(708) 202-4954

Healthcare Provider's Profile

Full NameMr Peyton Randolph Keller
GenderMale
SpecialityCounselor - Mental Health
Location5th Avenue And Roosevelt Rd., Hines, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1477574788
  • Provider Enumeration Date: 07/21/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Peyton Randolph Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477574788NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Peyton Randolph Keller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Peyton Randolph Keller, LCSW
1310 N Ritchie Ct, Apt. 15c,
Chicago, IL 60610-2168

Ph: (708) 202-4952
Mr Peyton Randolph Keller, LCSW
5th Avenue And Roosevelt Rd.,
Hines, IL 60641

Ph: (708) 202-4952

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› Verified 1 days ago


Counselor in Hines, IL

Ms. Linda R Price, CADC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 5th & Roosevelt, Hines, IL 60141
Phone: 708-202-8387    Fax: 708-202-7013
Ms. Jamesetta Edwards, BFA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 5th & Roosevelt, Hines, IL 60141
Phone: 707-282-8387    Fax: 708-202-7013
Mr. Robert Henry Campbell Sr.,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 5th & Roosevelt, Hines, IL 60141
Phone: 708-202-8387    Fax: 708-202-7015
Dr. Cesar Pajarillo Jr., DMIN, EDD, NCC, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 5000 S. 5th Ave.,, Bldg 217, Rm 2c42, Hines, IL 60141
Phone: 331-684-7809    
Mr. Aaron Rice Jr., CADC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 5th & Roosevelt Rd, Hines Va Hospital, Hines, IL 60141
Phone: 708-202-8387    
Ms. Katherine H. Clark, M.S. VOC REHAB
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 5th Ave & Roosevelt Rd, Edward Hines Jr Va Hospital 116a6, Hines, IL 60141
Phone: 708-202-7122    

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