| Anne M. Nathan, Psyd Llc | |
|
175 Olde Half Day Rd Ste 210 Lincolnshire IL 60069-3063 | |
| (847) 544-9006 | |
| Not Available |
| Full Name | Anne M. Nathan, Psyd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 175 Olde Half Day Rd Ste 210, Lincolnshire, Illinois |
| Authorized Official Name and Position | Anne M. Nathan (OWNER) |
| Authorized Official Contact | 8475449006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anne M. Nathan, Psyd Llc 175 Olde Half Day Rd Ste 210 Lincolnshire IL 60069-3063 Ph: (847) 544-9006 | Anne M. Nathan, Psyd Llc 175 Olde Half Day Rd Ste 210 Lincolnshire IL 60069-3063 Ph: (847) 544-9006 |
| NPI Number | 1568986669 |
|---|---|
| Provider Enumeration Date | 07/31/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8729343298 |
|---|---|
| Medicare Enrollment ID | O20180604002135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568986669 | NPI | - | NPPES |
| 071007361 | Other | IL | ILLINOIS LICENSURE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071007361 (Illinois) | Primary |
| Provider Name | Anne M Nathan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235240896 PECOS PAC ID: 5597746198 Enrollment ID: I20180604002328 |
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