| Centers For Cognitive Wellness | |
|
30 N Michigan Ave Ste 2029 Chicago IL 60602-3611 | |
| (855) 264-9355 | |
| (855) 792-0240 |
| Full Name | Centers For Cognitive Wellness |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 30 N Michigan Ave Ste 2029, Chicago, Illinois |
| Authorized Official Name and Position | Sherrie D All (OWNER) |
| Authorized Official Contact | 8552649355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centers For Cognitive Wellness 30 N Michigan Ave Ste 2029 Chicago IL 60602-3611 Ph: (855) 264-9355 | Centers For Cognitive Wellness 30 N Michigan Ave Ste 2029 Chicago IL 60602-3611 Ph: (855) 264-9355 |
| NPI Number | 1164776175 |
|---|---|
| Provider Enumeration Date | 10/30/2012 |
| Last Update Date | 03/16/2023 |
| Certification Date | 03/16/2023 |
| Medicare PECOS PAC ID | 7618121922 |
|---|---|
| Medicare Enrollment ID | O20130213000250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164776175 | NPI | - | NPPES |
| Provider Name | Sherrie Deanna All |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255643896 PECOS PAC ID: 5597952242 Enrollment ID: I20101208000175 |
| Provider Name | Martha C Tierney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578842142 PECOS PAC ID: 0244528248 Enrollment ID: I20161006001443 |
| Provider Name | Lydia Amanda Wardin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255853073 PECOS PAC ID: 0749541852 Enrollment ID: I20180307000686 |
| Provider Name | Marie Talia Stein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013563311 PECOS PAC ID: 6103156385 Enrollment ID: I20191002000006 |
| Provider Name | Katherine Kline |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487232583 PECOS PAC ID: 0840608477 Enrollment ID: I20210421000721 |
| Provider Name | Lisa Schaedler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174978860 PECOS PAC ID: 2062819360 Enrollment ID: I20210929003012 |
| Provider Name | Eleanor Claire Mulshine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497483895 PECOS PAC ID: 4789060492 Enrollment ID: I20221004001816 |
| Provider Name | Amber Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922786797 PECOS PAC ID: 8729439526 Enrollment ID: I20240105001635 |
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