| Center For Psychology And Wellness, P.c. | |
|
601 Skokie Blvd Suite #ll-5d Northbrook IL 60062-2851 | |
| (847) 607-1589 | |
| Not Available |
| Full Name | Center For Psychology And Wellness, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 601 Skokie Blvd, Northbrook, Illinois |
| Authorized Official Name and Position | Anna Basov (PRESIDENT) |
| Authorized Official Contact | 8476071589 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Psychology And Wellness, P.c. 601 Skokie Blvd Suite #ll-5d Northbrook IL 60062-2851 Ph: () - | Center For Psychology And Wellness, P.c. 601 Skokie Blvd Suite #ll-5d Northbrook IL 60062-2851 Ph: (847) 607-1589 |
| NPI Number | 1194113357 |
|---|---|
| Provider Enumeration Date | 12/22/2014 |
| Last Update Date | 12/22/2014 |
| Medicare PECOS PAC ID | 2062713803 |
|---|---|
| Medicare Enrollment ID | O20151221000213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194113357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Anna Rachel Basov |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487901609 PECOS PAC ID: 3971804717 Enrollment ID: I20151221000368 |
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