| Insight Psychological Services Pllc | |
|
6031 N Marmora Ave Chicago IL 60646-3903 | |
| (773) 450-8049 | |
| Not Available |
| Full Name | Insight Psychological Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 6031 N Marmora Ave, Chicago, Illinois |
| Authorized Official Name and Position | David Charles Usndek (OWNER) |
| Authorized Official Contact | 7734508049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Insight Psychological Services Pllc 6031 N Marmora Ave Chicago IL 60646-3903 Ph: (773) 450-8049 | Insight Psychological Services Pllc 6031 N Marmora Ave Chicago IL 60646-3903 Ph: (773) 450-8049 |
| NPI Number | 1053773226 |
|---|---|
| Provider Enumeration Date | 03/25/2016 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/27/2024 |
| Medicare PECOS PAC ID | 2062785553 |
|---|---|
| Medicare Enrollment ID | O20170905002497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053773226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | 4703 (Arizona) | Secondary |
| Provider Name | David C Usndek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073684643 PECOS PAC ID: 4385745041 Enrollment ID: I20160419002994 |
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