| Adlerian Wellness Center, Ltd | |
|
1595 Weld Rd Ste 5 Elgin IL 60123-5896 | |
| (224) 605-5670 | |
| Not Available |
| Full Name | Adlerian Wellness Center, Ltd |
|---|---|
| Speciality | Psychologist |
| Location | 1595 Weld Rd Ste 5, Elgin, Illinois |
| Authorized Official Name and Position | Nicholas Fredrick (CLINICAL PSYCHOLOGIST-PRESIDENT) |
| Authorized Official Contact | 2246055670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adlerian Wellness Center, Ltd Po Box 5903 Elgin IL 60121-5903 Ph: (224) 605-5670 | Adlerian Wellness Center, Ltd 1595 Weld Rd Ste 5 Elgin IL 60123-5896 Ph: (224) 605-5670 |
| NPI Number | 1639743362 |
|---|---|
| Provider Enumeration Date | 05/17/2021 |
| Last Update Date | 06/03/2021 |
| Certification Date | 06/03/2021 |
| Medicare PECOS PAC ID | 8426450974 |
|---|---|
| Medicare Enrollment ID | O20210707001767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639743362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Nicholas Fredrick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013225879 PECOS PAC ID: 8729311873 Enrollment ID: I20190605001766 |
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