| Dr Robert Zagar Pc | |
|
233 E Erie St Suite 610 Chicago IL 60611-2926 | |
| (312) 266-3411 | |
| Not Available |
| Full Name | Dr Robert Zagar Pc |
|---|---|
| Speciality | Psychologist |
| Location | 233 E Erie St, Chicago, Illinois |
| Authorized Official Name and Position | Robert J Zagar (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3122663411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Zagar Pc 233 E Erie St Suite 610 Chicago IL 60611-2926 Ph: (312) 266-3411 | Dr Robert Zagar Pc 233 E Erie St Suite 610 Chicago IL 60611-2926 Ph: (312) 266-3411 |
| NPI Number | 1700974458 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 10/26/2017 |
| Medicare PECOS PAC ID | 5991735318 |
|---|---|
| Medicare Enrollment ID | O20050816000579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700974458 | NPI | - | NPPES |
| 0001626222 | Other | IL | BLUE CROSS BLUE SHIELD OF |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071003900 (Illinois) | Primary |
| Provider Name | Robert J Zagar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053320473 PECOS PAC ID: 7719917061 Enrollment ID: I20050816000878 |
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