| Interaction Dynamics | |
|
1 E Superior St 310 Chicago IL 60611-2507 | |
| (312) 988-7792 | |
| (312) 988-4040 |
| Full Name | Interaction Dynamics |
|---|---|
| Speciality | Psychologist |
| Location | 1 E Superior St, Chicago, Illinois |
| Authorized Official Name and Position | Robert M. Heller (PRESIDENT) |
| Authorized Official Contact | 3129887792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Interaction Dynamics 1 E Superior St 310 Chicago IL 60611-2507 Ph: (312) 988-7792 | Interaction Dynamics 1 E Superior St 310 Chicago IL 60611-2507 Ph: (312) 988-7792 |
| NPI Number | 1316122963 |
|---|---|
| Provider Enumeration Date | 01/02/2008 |
| Last Update Date | 05/19/2009 |
| Medicare PECOS PAC ID | 4385699909 |
|---|---|
| Medicare Enrollment ID | O20050316000989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316122963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071002999 (Illinois) | Primary |
| Provider Name | Robert M Heller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821101528 PECOS PAC ID: 1456306075 Enrollment ID: I20050318000731 |
| Provider Name | Amanda Gerber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508412818 PECOS PAC ID: 6103274238 Enrollment ID: I20231129002356 |
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