| Associates In Behavioral Science | |
|
6201 West Cermak 2nd Floor, Lombard Entrance Berwyn IL 60402-5101 | |
| (708) 788-8808 | |
| (708) 788-8805 |
| Full Name | Associates In Behavioral Science |
|---|---|
| Speciality | Psychologist |
| Location | 6201 West Cermak, Berwyn, Illinois |
| Authorized Official Name and Position | Anthony M. Dejoseph (PRESIDENT) |
| Authorized Official Contact | 7087888808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates In Behavioral Science 6201 West Cermak 2nd Floor - Lombard Entrance Berwyn IL 60402-5105 Ph: (708) 788-8808 | Associates In Behavioral Science 6201 West Cermak 2nd Floor, Lombard Entrance Berwyn IL 60402-5101 Ph: (708) 788-8808 |
| NPI Number | 1245459395 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 04/17/2020 |
| Certification Date | 04/17/2020 |
| Medicare PECOS PAC ID | 5698739126 |
|---|---|
| Medicare Enrollment ID | O20041115001122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245459395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071003731 (Illinois) | Primary |
| Provider Name | Anthony M Dejoseph |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154440519 PECOS PAC ID: 0941264477 Enrollment ID: I20070803000546 |
| Provider Name | Kelly S Vierra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609282227 PECOS PAC ID: 6305064908 Enrollment ID: I20140822002101 |
| Provider Name | Martha L Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497974356 PECOS PAC ID: 3577883156 Enrollment ID: I20150521001599 |
| Provider Name | John B Corso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356730576 PECOS PAC ID: 7214249135 Enrollment ID: I20150707001955 |
| Provider Name | Ewa Zofia Ehrlich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134895196 PECOS PAC ID: 7416348198 Enrollment ID: I20220107000530 |
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