Provider Demographics
NPI:1750952404
Name:KECI, ARMANDA
Entity type:Individual
Prefix:
First Name:ARMANDA
Middle Name:
Last Name:KECI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 E ALGONQUIN RD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-3846
Mailing Address - Country:US
Mailing Address - Phone:847-221-5622
Mailing Address - Fax:
Practice Address - Street 1:650 E ALGONQUIN RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-3846
Practice Address - Country:US
Practice Address - Phone:847-221-5622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-04
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QS1000X
IL209023643363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health