| Awareness Psychology Center, Inc | |
|
4256 N Ravenswood Ave Ste 220 Chicago IL 60613-1114 | |
| (815) 995-7028 | |
| Not Available |
| Full Name | Awareness Psychology Center, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 4256 N Ravenswood Ave Ste 220, Chicago, Illinois |
| Authorized Official Name and Position | Amelia Lee Justice (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8159957028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Awareness Psychology Center, Inc 3047 W Wilson Ave Apt 1 Chicago IL 60625-4331 Ph: (815) 995-7028 | Awareness Psychology Center, Inc 4256 N Ravenswood Ave Ste 220 Chicago IL 60613-1114 Ph: (815) 995-7028 |
| NPI Number | 1417453218 |
|---|---|
| Provider Enumeration Date | 04/02/2018 |
| Last Update Date | 04/02/2018 |
| Medicare PECOS PAC ID | 5890186720 |
|---|---|
| Medicare Enrollment ID | O20220103000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417453218 | NPI | - | NPPES |
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