Affiliated Clinical Psychologists Limited | |
1 Tiffany Pt Suite 111 Bloomingdale IL 60108-2936 | |
(630) 980-1400 | |
(630) 980-1441 |
Full Name | Affiliated Clinical Psychologists Limited |
---|---|
Speciality | Psychologist |
Location | 1 Tiffany Pt, Bloomingdale, Illinois |
Authorized Official Name and Position | Aimee Harris-newon (OWNER) |
Authorized Official Contact | 6309801400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Affiliated Clinical Psychologists Limited 1 Tiffany Pt Suite 111 Bloomingdale IL 60108-2936 Ph: (630) 980-1400 | Affiliated Clinical Psychologists Limited 1 Tiffany Pt Suite 111 Bloomingdale IL 60108-2936 Ph: (630) 980-1400 |
NPI Number | 1457547457 |
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Provider Enumeration Date | 09/24/2007 |
Last Update Date | 01/11/2008 |
Medicare PECOS PAC ID | 2163511148 |
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Medicare Enrollment ID | O20071128000355 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457547457 | NPI | - | NPPES |
02227626 | Other | IL | BLUE CROSS |
215819 | Other | IL | MEDICARE GRP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Aimee D Harris Newon |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1609944263 PECOS PAC ID: 3274553151 Enrollment ID: I20051208000042 |
Provider Name | Eliza Bernas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326075854 PECOS PAC ID: 7911195581 Enrollment ID: I20101223000168 |
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