| Georgemiller, Whyte & Associates, Pc | |
|
800 E Northwest Highway Ste 206 Mount Prospect IL 60056-3457 | |
| (847) 696-1100 | |
| (847) 696-9515 |
| Full Name | Georgemiller, Whyte & Associates, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 800 E Northwest Highway, Mount Prospect, Illinois |
| Authorized Official Name and Position | Bonnie Lee Whyte (OWNER/PRESIDENT) |
| Authorized Official Contact | 8476961100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgemiller, Whyte & Associates, Pc 800 E Northwest Highway Ste 206 Mount Prospect IL 60056-3457 Ph: (847) 696-1100 | Georgemiller, Whyte & Associates, Pc 800 E Northwest Highway Ste 206 Mount Prospect IL 60056-3457 Ph: (847) 696-1100 |
| NPI Number | 1912984774 |
|---|---|
| Provider Enumeration Date | 12/22/2005 |
| Last Update Date | 03/18/2019 |
| Medicare PECOS PAC ID | 6002869591 |
|---|---|
| Medicare Enrollment ID | O20050224000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912984774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Bonnie L Whyte |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033277017 PECOS PAC ID: 7810940301 Enrollment ID: I20070626000460 |
| Provider Name | Angela Hui Clarke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669642526 PECOS PAC ID: 6709147143 Enrollment ID: I20180228001440 |
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