| Jill Levinsky Psy.d. P.c. | |
|
1121 E Main St #405 St Charles IL 60174-2205 | |
| (331) 222-7915 | |
| Not Available |
| Full Name | Jill Levinsky Psy.d. P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 1121 E Main St, St Charles, Illinois |
| Authorized Official Name and Position | Jill Levinsky (OWNER) |
| Authorized Official Contact | 3312227915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Levinsky Psy.d. P.c. 1121 E Main St #405 St Charles IL 60174-2205 Ph: () - | Jill Levinsky Psy.d. P.c. 1121 E Main St #405 St Charles IL 60174-2205 Ph: (331) 222-7915 |
| NPI Number | 1699100453 |
|---|---|
| Provider Enumeration Date | 09/11/2013 |
| Last Update Date | 09/11/2013 |
| Medicare PECOS PAC ID | 0042447377 |
|---|---|
| Medicare Enrollment ID | O20131212000923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699100453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071007552 (Illinois) | Primary |
| Provider Name | Jill M Levinsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205134822 PECOS PAC ID: 1951538289 Enrollment ID: I20131212000935 |
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