| Doctor Name: | MS. KENITA J. PERRY-BELL |
| NPI Number: | 1780921494 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | 149015679 |
| Business Practice Address: | 2000 W Roosevelt Rd Broadview, IL - 601553910 |
| Business Phone Number: | 6304745279 |
| Business Fax Number: | 6307853064 |
| Mailing Address: | Po Box 5885, VILLA PARK |
| State: | IL |
| Postal Code: | 601815310 |
| Phone Number: | 6304745279 |
| Fax Number: | 6307853064 |
| NPI Enumeration Date: | 01/15/2013 |
| NPI Last Update Date: | 02/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 149015679 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |