| Dr Luis C Mayolo Inc | |
|
832 Plainfield Naperville Rd Naperville IL 60540-6414 | |
| (248) 910-5381 | |
| Not Available |
| Full Name | Dr Luis C Mayolo Inc |
|---|---|
| Speciality | Psychologist |
| Location | 832 Plainfield Naperville Rd, Naperville, Illinois |
| Authorized Official Name and Position | Luis Mayolo (OWNER) |
| Authorized Official Contact | 2489105381 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Luis C Mayolo Inc 832 Plainfield Naperville Rd Naperville IL 60540-6414 Ph: (248) 910-5381 | Dr Luis C Mayolo Inc 832 Plainfield Naperville Rd Naperville IL 60540-6414 Ph: (248) 910-5381 |
| NPI Number | 1447904412 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 01/17/2023 |
| Certification Date | 01/17/2023 |
| Medicare PECOS PAC ID | 7315332483 |
|---|---|
| Medicare Enrollment ID | O20220328002064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447904412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Luis C Mayolo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821455312 PECOS PAC ID: 0648574095 Enrollment ID: I20160205001175 |
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