| Dr. James Dugo Llc | |
|
84 N Broadway St Des Plaines IL 60016-2348 | |
| (847) 635-2040 | |
| Not Available |
| Full Name | Dr. James Dugo Llc |
|---|---|
| Speciality | Psychologist |
| Location | 84 N Broadway St, Des Plaines, Illinois |
| Authorized Official Name and Position | James M Dugo (PRESIDENT) |
| Authorized Official Contact | 8478773138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. James Dugo Llc 84 North Broadway Avenue Des Plaines IL 60016-2348 Ph: (847) 635-2040 | Dr. James Dugo Llc 84 N Broadway St Des Plaines IL 60016-2348 Ph: (847) 635-2040 |
| NPI Number | 1659542850 |
|---|---|
| Provider Enumeration Date | 03/14/2008 |
| Last Update Date | 03/16/2009 |
| Medicare PECOS PAC ID | 6103965215 |
|---|---|
| Medicare Enrollment ID | O20091203000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659542850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | #071-001745 (Illinois) | Primary |
| Provider Name | James M Dugo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316122898 PECOS PAC ID: 7012909104 Enrollment ID: I20040401000186 |
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