| Gray Oak Counseling Llc | |
|
2550 Crawford Ave Evanston IL 60201-4900 | |
| (847) 920-4556 | |
| Not Available |
| Full Name | Gray Oak Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2550 Crawford Ave, Evanston, Illinois |
| Authorized Official Name and Position | Steven Bernfeld (OWNER) |
| Authorized Official Contact | 8479204556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gray Oak Counseling Llc 9740 Kedvale Ave Skokie IL 60076-1122 Ph: (847) 920-4556 | Gray Oak Counseling Llc 2550 Crawford Ave Evanston IL 60201-4900 Ph: (847) 920-4556 |
| NPI Number | 1437619368 |
|---|---|
| Provider Enumeration Date | 03/25/2019 |
| Last Update Date | 03/25/2019 |
| Medicare PECOS PAC ID | 1658613245 |
|---|---|
| Medicare Enrollment ID | O20190501000795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437619368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Steven J Bernfeld |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538577275 PECOS PAC ID: 7315167335 Enrollment ID: I20140925001033 |
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