| Dr. Robert E. Puls, P.c. | |
|
1352 N Cedar Rd New Lenox IL 60451-1163 | |
| (815) 463-8805 | |
| (815) 463-8806 |
| Full Name | Dr. Robert E. Puls, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 1352 N Cedar Rd, New Lenox, Illinois |
| Authorized Official Name and Position | Robert E Puls (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8154638805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Robert E. Puls, P.c. 1352 N Cedar Rd New Lenox IL 60451-1163 Ph: (815) 463-8805 | Dr. Robert E. Puls, P.c. 1352 N Cedar Rd New Lenox IL 60451-1163 Ph: (815) 463-8805 |
| NPI Number | 1093839433 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5597860171 |
|---|---|
| Medicare Enrollment ID | O20070411000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093839433 | NPI | - | NPPES |
| 1992850044 | Other | IL | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
| Provider Name | Robert E Puls |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992850044 PECOS PAC ID: 0042315624 Enrollment ID: I20070411000155 |
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