| Caceres Consulting Llc | |
|
422 W Wesley St Wheaton IL 60187-4926 | |
| (630) 740-1996 | |
| Not Available |
| Full Name | Caceres Consulting Llc |
|---|---|
| Speciality | Psychologist |
| Location | 422 W Wesley St, Wheaton, Illinois |
| Authorized Official Name and Position | Juliet Caceres (OWNER PSYCHOLOGIST) |
| Authorized Official Contact | 6307401996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caceres Consulting Llc 422 W Wesley St Wheaton IL 60187-4926 Ph: (630) 740-1996 | Caceres Consulting Llc 422 W Wesley St Wheaton IL 60187-4926 Ph: (630) 740-1996 |
| NPI Number | 1790469815 |
|---|---|
| Provider Enumeration Date | 06/09/2023 |
| Last Update Date | 06/09/2023 |
| Certification Date | 06/09/2023 |
| Medicare PECOS PAC ID | 6507204211 |
|---|---|
| Medicare Enrollment ID | O20240401001364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790469815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Juliet Caceres |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477634194 PECOS PAC ID: 7315385028 Enrollment ID: I20240401001443 |
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