| Dr Cheryl Scallon Pc | |
|
9631 W 153rd St Ste 38 Orland Park IL 60462-3774 | |
| (708) 460-0235 | |
| (708) 460-7563 |
| Full Name | Dr Cheryl Scallon Pc |
|---|---|
| Speciality | Psychologist |
| Location | 9631 W 153rd St, Orland Park, Illinois |
| Authorized Official Name and Position | Cheryl Scallon (OWNER) |
| Authorized Official Contact | 7084600235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cheryl Scallon Pc 9631 W 153rd St Ste 38 Orland Park IL 60462-3774 Ph: (708) 460-0235 | Dr Cheryl Scallon Pc 9631 W 153rd St Ste 38 Orland Park IL 60462-3774 Ph: (708) 460-0235 |
| NPI Number | 1336274034 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7719082957 |
|---|---|
| Medicare Enrollment ID | O20070418000116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336274034 | NPI | - | NPPES |
| 016-26201 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
| Provider Name | Cheryl A Scallon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699889089 PECOS PAC ID: 6204738479 Enrollment ID: I20040127000418 |
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