| Gm Psychological Services, Inc. | |
|
1108 Linden Ave Oak Park IL 60302-1243 | |
| (773) 750-3819 | |
| (708) 383-6948 |
| Full Name | Gm Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1108 Linden Ave, Oak Park, Illinois |
| Authorized Official Name and Position | Erika L. Gilyot-montgomery (PRESIDENT) |
| Authorized Official Contact | 7737503819 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gm Psychological Services, Inc. 1108 Linden Ave Oak Park IL 60302-1243 Ph: (773) 750-3819 | Gm Psychological Services, Inc. 1108 Linden Ave Oak Park IL 60302-1243 Ph: (773) 750-3819 |
| NPI Number | 1437288735 |
|---|---|
| Provider Enumeration Date | 03/04/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6800025024 |
|---|---|
| Medicare Enrollment ID | O20140212000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437288735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
| Provider Name | Erika Lela Gilyot-montgomery |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700091121 PECOS PAC ID: 7719116839 Enrollment ID: I20140219000055 |
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