| Allied Psychological Services Ltd | |
|
501 Peterson Rd Ste 101 Libertyville IL 60048-1082 | |
| (847) 680-3828 | |
| (847) 680-3844 |
| Full Name | Allied Psychological Services Ltd |
|---|---|
| Speciality | Psychologist |
| Location | 501 Peterson Rd Ste 101, Libertyville, Illinois |
| Authorized Official Name and Position | Wayne Prepura (PRESIDENT) |
| Authorized Official Contact | 8476803828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Psychological Services Ltd 501 Peterson Rd Ste 101 Libertyville IL 60048-1082 Ph: (847) 680-3828 | Allied Psychological Services Ltd 501 Peterson Rd Ste 101 Libertyville IL 60048-1082 Ph: (847) 680-3828 |
| NPI Number | 1982876116 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 10/20/2016 |
| Medicare PECOS PAC ID | 7416123922 |
|---|---|
| Medicare Enrollment ID | O20120105000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982876116 | NPI | - | NPPES |
| 4923581 | Other | IL | BLUE CROSS BLUE SHIELD |
| Provider Name | Wayne Andrew Prepura |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265623631 PECOS PAC ID: 7214103720 Enrollment ID: I20120105000253 |
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