| Jeanette Simon, Psy.d., C.a.d.c., Llc | |
|
1100 Lake St Ste 210b Oak Park IL 60301-1015 | |
| (708) 628-7578 | |
| Not Available |
| Full Name | Jeanette Simon, Psy.d., C.a.d.c., Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1100 Lake St Ste 210b, Oak Park, Illinois |
| Authorized Official Name and Position | Jeanette Zwicky Simon (CEO & FOUNDER) |
| Authorized Official Contact | 7086287578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanette Simon, Psy.d., C.a.d.c., Llc 1100 Lake St Ste 201b Oak Park IL 60301-1028 Ph: (708) 628-7578 | Jeanette Simon, Psy.d., C.a.d.c., Llc 1100 Lake St Ste 210b Oak Park IL 60301-1015 Ph: (708) 628-7578 |
| NPI Number | 1265944029 |
|---|---|
| Provider Enumeration Date | 11/01/2017 |
| Last Update Date | 11/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265944029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 4778 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071005823 (Illinois) | Primary |
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