| Edumedia Inc. | |
|
129 Welwyn St Lake Bluff IL 60044-1151 | |
| (847) 604-4040 | |
| Not Available |
| Full Name | Edumedia Inc. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/29/2011 |
| Last Update Date | 12/14/2015 |
| Medicare PECOS PAC ID | 7517250905 |
|---|---|
| Medicare Enrollment ID | O20160722000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457628836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.003813 (Illinois) | Primary |
| Provider Name | Martin J Mccarthy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588891592 PECOS PAC ID: 2769516038 Enrollment ID: I20100823000617 |
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