| Gary Dec And Associates, Llc | |
|
100 W Roosevelt Rd Bldg. B-8, Suite 202 Wheaton IL 60187-5260 | |
| (630) 752-9874 | |
| Not Available |
| Full Name | Gary Dec And Associates, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 100 W Roosevelt Rd, Wheaton, Illinois |
| Authorized Official Name and Position | Gary R Dec (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6307529874 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Dec And Associates, Llc 100 W Roosevelt Rd Bldg. B-8, Suite 202 Wheaton IL 60187-5260 Ph: (630) 752-9874 | Gary Dec And Associates, Llc 100 W Roosevelt Rd Bldg. B-8, Suite 202 Wheaton IL 60187-5260 Ph: (630) 752-9874 |
| NPI Number | 1477840304 |
|---|---|
| Provider Enumeration Date | 06/29/2011 |
| Last Update Date | 06/29/2011 |
| Medicare PECOS PAC ID | 4284977968 |
|---|---|
| Medicare Enrollment ID | O20190521001000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477840304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | IL 71-3329 (Illinois) | Primary |
| Provider Name | Gary R Dec |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528137684 PECOS PAC ID: 5193068872 Enrollment ID: I20190521001189 |
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