| Behavioral Medicine Specialists, Inc. | |
|
1445 N Hunt Club Rd Ste 101 Gurnee IL 60031-2603 | |
| (847) 438-1779 | |
| Not Available |
| Full Name | Behavioral Medicine Specialists, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1445 N Hunt Club Rd Ste 101, Gurnee, Illinois |
| Authorized Official Name and Position | Jeremy Clorfene (PRESIDENT) |
| Authorized Official Contact | 8474381779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Medicine Specialists, Inc. 1445 N Hunt Club Rd Ste 101 Gurnee IL 60031-2603 Ph: (847) 438-1779 | Behavioral Medicine Specialists, Inc. 1445 N Hunt Club Rd Ste 101 Gurnee IL 60031-2603 Ph: (847) 438-1779 |
| NPI Number | 1043313216 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1355346016 |
|---|---|
| Medicare Enrollment ID | O20061002000442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043313216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jeremy B Clorfene |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760585921 PECOS PAC ID: 4789578980 Enrollment ID: I20040210000156 |
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