| Eleanor Aisenberg, Psy.d. Inc. | |
|
10024 Skokie Blvd Suite 312 Skokie IL 60077-1025 | |
| (312) 972-9994 | |
| Not Available |
| Full Name | Eleanor Aisenberg, Psy.d. Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 10024 Skokie Blvd, Skokie, Illinois |
| Authorized Official Name and Position | Eleanor Aisenberg (PRESIDENT) |
| Authorized Official Contact | 3129729994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eleanor Aisenberg, Psy.d. Inc. 4136 Madison St. Skokie IL 60076 Ph: (312) 972-9994 | Eleanor Aisenberg, Psy.d. Inc. 10024 Skokie Blvd Suite 312 Skokie IL 60077-1025 Ph: (312) 972-9994 |
| NPI Number | 1255518700 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 12/24/2008 |
| Medicare PECOS PAC ID | 3678656410 |
|---|---|
| Medicare Enrollment ID | O20080216000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255518700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071-005758 (Illinois) | Primary |
| Provider Name | Eleanor M Aisenberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033218649 PECOS PAC ID: 9335163641 Enrollment ID: I20060125000246 |
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