| Integrative Psychological Services, Inc | |
|
100 N Atkinson Rd Ste 106 Grayslake IL 60030-7805 | |
| (224) 577-5308 | |
| (847) 543-6932 |
| Full Name | Integrative Psychological Services, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 100 N Atkinson Rd Ste 106, Grayslake, Illinois |
| Authorized Official Name and Position | Victoria Mccarthy (OFFICE MANAGER) |
| Authorized Official Contact | 2244301918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Psychological Services, Inc 355 Belle Ct Grayslake IL 60030-2301 Ph: (224) 577-5308 | Integrative Psychological Services, Inc 100 N Atkinson Rd Ste 106 Grayslake IL 60030-7805 Ph: (224) 577-5308 |
| NPI Number | 1205042652 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 01/16/2024 |
| Certification Date | 03/30/2022 |
| Medicare PECOS PAC ID | 7810096104 |
|---|---|
| Medicare Enrollment ID | O20070627000560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205042652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071006449 (Illinois) | Primary |
| Provider Name | Lawrence Todryk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326164377 PECOS PAC ID: 1557460847 Enrollment ID: I20070627000556 |
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