Edumedia Inc. | |
129 Welwyn St Lake Bluff IL 60044-1151 | |
(847) 604-4040 | |
Not Available |
Full Name | Edumedia Inc. |
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Speciality | Psychologist |
Location | 129 Welwyn St, Lake Bluff, Illinois |
Authorized Official Name and Position | Martin Mc Carthy, Jr. (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 8474751988 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Edumedia Inc. 129 Welwyn St Lake Bluff IL 60044-1151 Ph: (847) 604-4040 | Edumedia Inc. 129 Welwyn St Lake Bluff IL 60044-1151 Ph: (847) 604-4040 |
NPI Number | 1457628836 |
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Provider Enumeration Date | 11/29/2011 |
Last Update Date | 12/14/2015 |
Medicare PECOS PAC ID | 7517250905 |
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Medicare Enrollment ID | O20160722000417 |
Identifier | Type | State | Issuer |
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1457628836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 071.003813 (Illinois) | Primary |
Provider Name | Martin J Mccarthy |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1588891592 PECOS PAC ID: 2769516038 Enrollment ID: I20100823000617 |
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