| Ips | |
|
1010 Jorie Blvd Ste 356 Oak Brook IL 60523-4478 | |
| (630) 990-5981 | |
| Not Available |
| Full Name | Ips |
|---|---|
| Speciality | Psychologist |
| Location | 1010 Jorie Blvd Ste 356, Oak Brook, Illinois |
| Authorized Official Name and Position | James Carger (PRESIDENT) |
| Authorized Official Contact | 6309905981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ips 1010 Jorie Blvd Ste 356 Oak Brook IL 60523-4478 Ph: (630) 990-5981 | Ips 1010 Jorie Blvd Ste 356 Oak Brook IL 60523-4478 Ph: (630) 990-5981 |
| NPI Number | 1720203433 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 04/11/2014 |
| Medicare PECOS PAC ID | 3173602760 |
|---|---|
| Medicare Enrollment ID | O20080507000601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720203433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 060.005608 (Illinois) | Primary |
| Provider Name | James J Carger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720195456 PECOS PAC ID: 1456439777 Enrollment ID: I20080425000558 |
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