Doreen Benjamin, Psy. D. | |
977 Lakeview Pkwy Ste 165 Vernon Hills IL 60061-1444 | |
(847) 867-7236 | |
Not Available |
Full Name | Doreen Benjamin, Psy. D. |
---|---|
Speciality | Psychologist |
Location | 977 Lakeview Pkwy Ste 165, Vernon Hills, Illinois |
Authorized Official Name and Position | Doreen Benjamin (PRESIDENT) |
Authorized Official Contact | 8478677236 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Doreen Benjamin, Psy. D. 977 Lakeview Pkwy Ste 165 Vernon Hills IL 60061-1444 Ph: (847) 867-7236 | Doreen Benjamin, Psy. D. 977 Lakeview Pkwy Ste 165 Vernon Hills IL 60061-1444 Ph: (847) 867-7236 |
NPI Number | 1881329076 |
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Provider Enumeration Date | 07/21/2022 |
Last Update Date | 12/14/2022 |
Certification Date | 12/14/2022 |
Medicare PECOS PAC ID | 0547638264 |
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Medicare Enrollment ID | O20221130000086 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881329076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Doreen Benjamin |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1710039979 PECOS PAC ID: 3678960291 Enrollment ID: I20221104002285 |
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