| Dr. Debra M. Block And Associates, Mindful Solutions Llc | |
|
1275 Shermer Rd Suite 2 Northbrook IL 60062-4558 | |
| (847) 409-0050 | |
| Not Available |
| Full Name | Dr. Debra M. Block And Associates, Mindful Solutions Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1275 Shermer Rd, Northbrook, Illinois |
| Authorized Official Name and Position | Debra M. Block (MEMBER) |
| Authorized Official Contact | 8474090050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Debra M. Block And Associates, Mindful Solutions Llc 2740 W Foster Ave Suite 109 Chicago IL 60625-3500 Ph: () - | Dr. Debra M. Block And Associates, Mindful Solutions Llc 1275 Shermer Rd Suite 2 Northbrook IL 60062-4558 Ph: (847) 409-0050 |
| NPI Number | 1598032922 |
|---|---|
| Provider Enumeration Date | 11/30/2011 |
| Last Update Date | 11/30/2011 |
| Medicare PECOS PAC ID | 7416113402 |
|---|---|
| Medicare Enrollment ID | O20120718000906 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598032922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 071006426 (Illinois) | Primary |
| Provider Name | Debra M Block |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871624890 PECOS PAC ID: 7719967207 Enrollment ID: I20040723001253 |
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