Provider Demographics
NPI:1518857267
Name:LAMPLEY, KRIS
Entity type:Individual
Prefix:
First Name:KRIS
Middle Name:
Last Name:LAMPLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3450 W MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60805-3043
Mailing Address - Country:US
Mailing Address - Phone:312-848-9609
Mailing Address - Fax:312-848-9609
Practice Address - Street 1:3450 W MAPLE ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60805-3043
Practice Address - Country:US
Practice Address - Phone:312-848-9609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-05
Last Update Date:2025-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health