| Dr. Lavinia L Myers, Pc | |
|
16w281 83rd St Ste B Burr Ridge IL 60527-7967 | |
| (630) 581-7798 | |
| (630) 581-7799 |
| Full Name | Dr. Lavinia L Myers, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 16w281 83rd St Ste B, Burr Ridge, Illinois |
| Authorized Official Name and Position | Lavinia Myers (PRESIDENT) |
| Authorized Official Contact | 7088607290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Lavinia L Myers, Pc 16w281 83rd St Ste B Burr Ridge IL 60527-7967 Ph: (630) 581-7798 | Dr. Lavinia L Myers, Pc 16w281 83rd St Ste B Burr Ridge IL 60527-7967 Ph: (630) 581-7798 |
| NPI Number | 1346833753 |
|---|---|
| Provider Enumeration Date | 02/17/2021 |
| Last Update Date | 09/12/2021 |
| Certification Date | 09/12/2021 |
| Medicare PECOS PAC ID | 0446795165 |
|---|---|
| Medicare Enrollment ID | O20240717001888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346833753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Lavinia L Myers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821194325 PECOS PAC ID: 8820093594 Enrollment ID: I20061002000521 |
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