Carolyn Guerra Burns Psyd Inc | |
200 Ravinia Ave. Orland Park IL 60462 | |
(708) 460-1212 | |
Not Available |
Full Name | Carolyn Guerra Burns Psyd Inc |
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Speciality | Psychologist |
Location | 200 Ravinia Ave., Orland Park, Illinois |
Authorized Official Name and Position | Carolyn Guerra Burns (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 7087904062 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Carolyn Guerra Burns Psyd Inc 44 Oak Creek Dr. Burr Ridge IL 60527 Ph: (708) 790-4062 | Carolyn Guerra Burns Psyd Inc 200 Ravinia Ave. Orland Park IL 60462 Ph: (708) 460-1212 |
NPI Number | 1871654665 |
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Provider Enumeration Date | 12/13/2006 |
Last Update Date | 09/03/2014 |
Medicare PECOS PAC ID | 4880695741 |
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Medicare Enrollment ID | O20070122000067 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871654665 | NPI | - | NPPES |
01635321 | Other | IL | BLUECROSS BLUE SHIELD |
Provider Name | Carolyn Guerra Burns |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1114022506 PECOS PAC ID: 8224051685 Enrollment ID: I20060111000897 |
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