| Agor Behavioral Health Services, Inc. | |
|
24402 W Lockport Rd Unit 2b Plainfield IL 60544-4206 | |
| (630) 621-5824 | |
| Not Available |
| Full Name | Agor Behavioral Health Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 24402 W Lockport Rd, Plainfield, Illinois |
| Authorized Official Name and Position | William David Agor (OWNER) |
| Authorized Official Contact | 6306215824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agor Behavioral Health Services, Inc. 24402 W Lockport Rd Unit 2b Plainfield IL 60544-4206 Ph: (630) 621-5824 | Agor Behavioral Health Services, Inc. 24402 W Lockport Rd Unit 2b Plainfield IL 60544-4206 Ph: (630) 621-5824 |
| NPI Number | 1346445871 |
|---|---|
| Provider Enumeration Date | 06/15/2007 |
| Last Update Date | 03/05/2024 |
| Certification Date | 03/05/2024 |
| Medicare PECOS PAC ID | 9133393937 |
|---|---|
| Medicare Enrollment ID | O20111112000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346445871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Illinois) | Primary |
| Provider Name | Darrell R Troupe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386777076 PECOS PAC ID: 3072521277 Enrollment ID: I20060330000059 |
| Provider Name | William Agor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104832427 PECOS PAC ID: 4688848484 Enrollment ID: I20111114000528 |
| Provider Name | Angela N Chastain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053603266 PECOS PAC ID: 5294021093 Enrollment ID: I20160902000967 |
| Provider Name | Tanisha N Hankerson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174072698 PECOS PAC ID: 4486941671 Enrollment ID: I20161003002367 |
| Provider Name | Erin N Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396297370 PECOS PAC ID: 0941589998 Enrollment ID: I20161114002365 |
| Provider Name | Megan N. Hutchinson Krings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790343218 PECOS PAC ID: 5799010195 Enrollment ID: I20190708001330 |
| Provider Name | Laura Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538621065 PECOS PAC ID: 2365771136 Enrollment ID: I20190905000054 |
| Provider Name | Jerry Mark Otoole |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790393650 PECOS PAC ID: 6608294475 Enrollment ID: I20200910000699 |
| Provider Name | Kendra D Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619642055 PECOS PAC ID: 3173982352 Enrollment ID: I20230706001586 |
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