Dc Psych Consulting | |
3615 Park Dr Suite 203 B Olympia Fields IL 60461-1186 | |
(708) 510-4755 | |
Not Available |
Full Name | Dc Psych Consulting |
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Speciality | Psychologist - Clinical |
Location | 3615 Park Dr, Olympia Fields, Illinois |
Authorized Official Name and Position | Deborah Jean Chiles (CLINICAL DIRECTOR) |
Authorized Official Contact | 7085104755 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dc Psych Consulting 3615 Park Dr Suite 203 B Olympia Fields IL 60461-1186 Ph: (708) 510-4755 | Dc Psych Consulting 3615 Park Dr Suite 203 B Olympia Fields IL 60461-1186 Ph: (708) 510-4755 |
NPI Number | 1184036121 |
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Provider Enumeration Date | 05/27/2014 |
Last Update Date | 05/27/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184036121 | NPI | - | NPPES |
337564789100 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 071007594 (Illinois) | Primary |
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