Joshua A Barras Ph D Pc | |
4711 W Golf Rd Suite 400 Skokie IL 60076 | |
(847) 679-3040 | |
(847) 679-8340 |
Full Name | Joshua A Barras Ph D Pc |
---|---|
Speciality | Psychologist |
Location | 4711 W Golf Rd, Skokie, Illinois |
Authorized Official Name and Position | Joshua A Barras (PRESIDENT) |
Authorized Official Contact | 8476793040 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Joshua A Barras Ph D Pc 4711 W Golf Rd Suite 400 Skokie IL 60076 Ph: (847) 679-3040 | Joshua A Barras Ph D Pc 4711 W Golf Rd Suite 400 Skokie IL 60076 Ph: (847) 679-3040 |
NPI Number | 1811006521 |
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Provider Enumeration Date | 08/29/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 0547344079 |
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Medicare Enrollment ID | O20080222000257 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811006521 | NPI | - | NPPES |
0001672957 | Other | IL | BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
Provider Name | Joshua A Barras |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1629171194 PECOS PAC ID: 6901980432 Enrollment ID: I20080222000252 |
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