| Core Behavioral Health, Inc. | |
|
1300 W Belmont Ave Suite # 504 Chicago IL 60657-3200 | |
| (800) 994-6602 | |
| (800) 994-6602 |
| Full Name | Core Behavioral Health, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1300 W Belmont Ave, Chicago, Illinois |
| Authorized Official Name and Position | Rashid A. Raja (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8009946602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Behavioral Health, Inc. 9217 Montgomery Dr Orland Park IL 60462-6506 Ph: (800) 994-6602 | Core Behavioral Health, Inc. 1300 W Belmont Ave Suite # 504 Chicago IL 60657-3200 Ph: (800) 994-6602 |
| NPI Number | 1316249576 |
|---|---|
| Provider Enumeration Date | 11/21/2010 |
| Last Update Date | 10/30/2020 |
| Certification Date | 10/30/2020 |
| Medicare PECOS PAC ID | 5193144459 |
|---|---|
| Medicare Enrollment ID | O20201006001665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316249576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071007541 (Illinois) | Primary |
| Provider Name | Rashid A Raja |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386705572 PECOS PAC ID: 3173689866 Enrollment ID: I20090304000602 |
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