| Jason Hacker Ph.d. Therapy And Psychological Services Llc | |
|
30 N Michigan Ave Ste 2015 Chicago IL 60602-3611 | |
| (312) 925-6330 | |
| Not Available |
| Full Name | Jason Hacker Ph.d. Therapy And Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 30 N Michigan Ave Ste 2015, Chicago, Illinois |
| Authorized Official Name and Position | Jason Daniel Hacker (FOUNDER) |
| Authorized Official Contact | 3129256330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Hacker Ph.d. Therapy And Psychological Services Llc 30 N Michigan Ave Ste 2015 Chicago IL 60602-3611 Ph: (312) 925-6330 | Jason Hacker Ph.d. Therapy And Psychological Services Llc 30 N Michigan Ave Ste 2015 Chicago IL 60602-3611 Ph: (312) 925-6330 |
| NPI Number | 1396108874 |
|---|---|
| Provider Enumeration Date | 04/01/2016 |
| Last Update Date | 09/08/2021 |
| Certification Date | 09/08/2021 |
| Medicare PECOS PAC ID | 7214226745 |
|---|---|
| Medicare Enrollment ID | O20160523001131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396108874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.009274 (Illinois) | Primary |
| Provider Name | Jason Daniel Hacker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699142091 PECOS PAC ID: 8123317658 Enrollment ID: I20160523001247 |
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