| Comprehensive Psychological And Speech Services, Llc | |
|
1047 S York Rd Elmhurst IL 60126-5121 | |
| (630) 852-7336 | |
| (630) 852-8177 |
| Full Name | Comprehensive Psychological And Speech Services, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1047 S York Rd, Elmhurst, Illinois |
| Authorized Official Name and Position | Maria Stewart (SOLE MEMBER) |
| Authorized Official Contact | 6308527336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Psychological And Speech Services, Llc 707 Ridgeview St Downers Grove IL 60516-3930 Ph: (630) 852-7336 | Comprehensive Psychological And Speech Services, Llc 1047 S York Rd Elmhurst IL 60126-5121 Ph: (630) 852-7336 |
| NPI Number | 1992949523 |
|---|---|
| Provider Enumeration Date | 04/27/2009 |
| Last Update Date | 04/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992949523 | NPI | - | NPPES |
| 04922024 | Other | IL | BLUE CROSS BLUE SHIELD IL |
| 108488561001 | Medicaid | IL | |
| 02222567 | Other | IL | BLUE CROSS BLUE SHIELD IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071005206 (Illinois) | Primary |
| 235Z00000X | Speech-language Pathologist | 146001511 (Illinois) | Secondary |
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