| Aim Psychological Services Corp | |
|
13 Fairlane Dr Joliet IL 60435-6483 | |
| (312) 802-1956 | |
| (815) 730-1147 |
| Full Name | Aim Psychological Services Corp |
|---|---|
| Speciality | Psychologist |
| Location | 13 Fairlane Dr, Joliet, Illinois |
| Authorized Official Name and Position | Laura Schultz (PYCHOLOGIST) |
| Authorized Official Contact | 3128021956 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aim Psychological Services Corp 13 Fairlane Dr Joliet IL 60435-6483 Ph: (312) 802-1956 | Aim Psychological Services Corp 13 Fairlane Dr Joliet IL 60435-6483 Ph: (312) 802-1956 |
| NPI Number | 1457658700 |
|---|---|
| Provider Enumeration Date | 02/23/2011 |
| Last Update Date | 02/23/2011 |
| Medicare PECOS PAC ID | 9032393269 |
|---|---|
| Medicare Enrollment ID | O20110412000594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457658700 | NPI | - | NPPES |
| 653160 | Other | IL | MEDICARE ID TYPE UNSPECIFIED PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Laura T Schultz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548263379 PECOS PAC ID: 3072690346 Enrollment ID: I20080410000562 |
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