| Christine L Jacobek Psyd Pc | |
|
30 N Michigan Ave Suite 401 Chicago IL 60602-3402 | |
| (312) 726-2626 | |
| (312) 794-8997 |
| Full Name | Christine L Jacobek Psyd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 30 N Michigan Ave, Chicago, Illinois |
| Authorized Official Name and Position | Christine L. Jacobek (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3127262626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christine L Jacobek Psyd Pc 30 N Michigan Ave Suite 401 Chicago IL 60602-3402 Ph: (312) 726-2626 | Christine L Jacobek Psyd Pc 30 N Michigan Ave Suite 401 Chicago IL 60602-3402 Ph: (312) 726-2626 |
| NPI Number | 1649337320 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 03/09/2008 |
| Medicare PECOS PAC ID | 0840376430 |
|---|---|
| Medicare Enrollment ID | O20080324000350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649337320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
| Provider Name | Christine L Jacobek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942367610 PECOS PAC ID: 1052497641 Enrollment ID: I20080324000320 |
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