| Chicago Neurobehavior Specialists | |
|
15040 S Ravinia Ave Ste 49 Orland Park IL 60462-3173 | |
| (708) 349-4420 | |
| (708) 349-4421 |
| Full Name | Chicago Neurobehavior Specialists |
|---|---|
| Speciality | Psychologist |
| Location | 15040 S Ravinia Ave Ste 49, Orland Park, Illinois |
| Authorized Official Name and Position | Heather Castillo (PRACTICE MANAGER) |
| Authorized Official Contact | 7083494420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Neurobehavior Specialists 15040 S Ravinia Ave Ste 49 Orland Park IL 60462-3173 Ph: (708) 349-4420 | Chicago Neurobehavior Specialists 15040 S Ravinia Ave Ste 49 Orland Park IL 60462-3173 Ph: (708) 349-4420 |
| NPI Number | 1780936856 |
|---|---|
| Provider Enumeration Date | 10/12/2012 |
| Last Update Date | 06/10/2022 |
| Certification Date | 06/10/2022 |
| Medicare PECOS PAC ID | 1658513544 |
|---|---|
| Medicare Enrollment ID | O20130805000980 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780936856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Susan M Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407823206 PECOS PAC ID: 5395776124 Enrollment ID: I20050829000781 |
| Provider Name | Patrick Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689732752 PECOS PAC ID: 1355447590 Enrollment ID: I20110321000537 |
| Provider Name | Michael John Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386203537 PECOS PAC ID: 5395121206 Enrollment ID: I20220929003072 |
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