| Center For Behavioral Health & Wellness, Llc | |
|
1440 Renaissance Dr Suite 200 Park Ridge IL 60068-1356 | |
| (847) 296-3484 | |
| Not Available |
| Full Name | Center For Behavioral Health & Wellness, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1440 Renaissance Dr, Park Ridge, Illinois |
| Authorized Official Name and Position | Ritu Devendra Trivedi-purohit (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8472963484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Behavioral Health & Wellness, Llc 549 Ivory Ln Bartlett IL 60103-1230 Ph: (630) 540-9495 | Center For Behavioral Health & Wellness, Llc 1440 Renaissance Dr Suite 200 Park Ridge IL 60068-1356 Ph: (847) 296-3484 |
| NPI Number | 1730201971 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3779681259 |
|---|---|
| Medicare Enrollment ID | O20070606000697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730201971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
| Provider Name | Ritu D Trivedi Purohit |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093896169 PECOS PAC ID: 3173523487 Enrollment ID: I20070111000209 |
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