| Cynthia A. Dopke, Ph.d., P.c. | |
|
233 E Erie St Suite 601 Chicago IL 60611-2926 | |
| (312) 649-0854 | |
| (312) 649-0882 |
| Full Name | Cynthia A. Dopke, Ph.d., P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 233 E Erie St, Chicago, Illinois |
| Authorized Official Name and Position | Cynthia Ann Dopke (PRESIDENT) |
| Authorized Official Contact | 3126490854 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia A. Dopke, Ph.d., P.c. 233 E Erie St Suite 601 Chicago IL 60611-2926 Ph: (312) 649-0854 | Cynthia A. Dopke, Ph.d., P.c. 233 E Erie St Suite 601 Chicago IL 60611-2926 Ph: (312) 649-0854 |
| NPI Number | 1982892832 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 10/04/2007 |
| Medicare PECOS PAC ID | 0941466684 |
|---|---|
| Medicare Enrollment ID | O20120724000551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982892832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 060008747 (Illinois) | Primary |
| Provider Name | Cynthia Ann Dopke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285692574 PECOS PAC ID: 1850557596 Enrollment ID: I20120724000581 |
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