| Jillian M. Wickery, Ph.d., Psychological Services Pllc | |
|
422 N Northwest Hwy Ste 230 Park Ridge IL 60068-3261 | |
| (847) 282-0232 | |
| Not Available |
| Full Name | Jillian M. Wickery, Ph.d., Psychological Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 422 N Northwest Hwy Ste 230, Park Ridge, Illinois |
| Authorized Official Name and Position | Jillian M. Wickery (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8472820232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jillian M. Wickery, Ph.d., Psychological Services Pllc 422 N Northwest Hwy Ste 230 Park Ridge IL 60068-3261 Ph: () - | Jillian M. Wickery, Ph.d., Psychological Services Pllc 422 N Northwest Hwy Ste 230 Park Ridge IL 60068-3261 Ph: (847) 282-0232 |
| NPI Number | 1548882954 |
|---|---|
| Provider Enumeration Date | 05/08/2020 |
| Last Update Date | 05/31/2023 |
| Certification Date | 05/31/2023 |
| Medicare PECOS PAC ID | 6507288156 |
|---|---|
| Medicare Enrollment ID | O20200627000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548882954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Jillian Marie Wickery |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770816803 PECOS PAC ID: 1456610005 Enrollment ID: I20180105001355 |
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