| Eugene P Mele Ii Psy D Pc | |
|
410 S Michigan Ave #707 Chicago IL 60605-1308 | |
| (312) 203-8549 | |
| (773) 728-7760 |
| Full Name | Eugene P Mele Ii Psy D Pc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 410 S Michigan Ave, Chicago, Illinois |
| Authorized Official Name and Position | Eugene P Mele (NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 3122038549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eugene P Mele Ii Psy D Pc 410 S Michigan Ave #707 Chicago IL 60605-1308 Ph: (312) 203-8549 | Eugene P Mele Ii Psy D Pc 410 S Michigan Ave #707 Chicago IL 60605-1308 Ph: (312) 203-8549 |
| NPI Number | 1336181122 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 03/07/2016 |
| Medicare PECOS PAC ID | 6901870559 |
|---|---|
| Medicare Enrollment ID | O20040820000592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336181122 | NPI | - | NPPES |
| 1634589 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Eugene P Mele |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437197381 PECOS PAC ID: 3971570912 Enrollment ID: I20040913000260 |
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