| Crossroads | |
|
61 S Old Rand Rd Lake Zurich IL 60047-3127 | |
| (815) 578-4222 | |
| (847) 438-0844 |
| Full Name | Crossroads |
|---|---|
| Speciality | Psychologist |
| Location | 61 S Old Rand Rd, Lake Zurich, Illinois |
| Authorized Official Name and Position | Keith V Bjorge (PRESIDENT/PSYCHOLOGIST) |
| Authorized Official Contact | 8155784222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads 61 S Old Rand Rd Lake Zurich IL 60047-3127 Ph: (815) 578-4222 | Crossroads 61 S Old Rand Rd Lake Zurich IL 60047-3127 Ph: (815) 578-4222 |
| NPI Number | 1790854636 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 11/10/2011 |
| Medicare PECOS PAC ID | 9537315734 |
|---|---|
| Medicare Enrollment ID | O20120803000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790854636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2091057 (Wisconsin) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071005483 (Illinois) | Primary |
| Provider Name | Keith V Bjorge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700053360 PECOS PAC ID: 6800058702 Enrollment ID: I20131031001160 |
Omni Youth Services-ela Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 Old Mchenry Rd, Lake Zurich, IL 60047 Phone: 847-540-0680 Fax: 847-540-1427 | |
Ceas Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Millbrook Dr, Lake Zurich, IL 60047 Phone: 847-648-3221 | |
Get Psyched Wellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1049 Wilmette Ter, Lake Zurich, IL 60047 Phone: 773-706-1197 | |
Cherry Hill Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 61 S Old Rand Rd, Lake Zurich, IL 60047 Phone: 847-438-4222 Fax: 847-438-0844 | |
The Iris Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 E Main St, Suite 108, Lake Zurich, IL 60047 Phone: 847-337-1667 | |
Stableway Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 444 S. Rand Road, Suite 207, Lake Zurich, IL 60047 Phone: 847-847-1911 | |
June Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 S Pleasant Rd, Lake Zurich, IL 60047 Phone: 224-522-4430 |