| Carolyn Nowakowski Psy.d., P.c. | |
|
17226 Harlem Ave Tinley Park IL 60477-3368 | |
| (708) 620-2829 | |
| (708) 310-3643 |
| Full Name | Carolyn Nowakowski Psy.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 17226 Harlem Ave, Tinley Park, Illinois |
| Authorized Official Name and Position | Carolyn Nowakowski (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7083519675 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn Nowakowski Psy.d., P.c. 17226 Harlem Ave Tinley Park IL 60477-3368 Ph: (708) 620-2829 | Carolyn Nowakowski Psy.d., P.c. 17226 Harlem Ave Tinley Park IL 60477-3368 Ph: (708) 620-2829 |
| NPI Number | 1598024903 |
|---|---|
| Provider Enumeration Date | 05/07/2012 |
| Last Update Date | 07/09/2012 |
| Medicare PECOS PAC ID | 4688839400 |
|---|---|
| Medicare Enrollment ID | O20120629000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598024903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071005389 (Illinois) | Primary |
| Provider Name | Carolyn Nowakowski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881679637 PECOS PAC ID: 0749477230 Enrollment ID: I20101209000746 |
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