Laura Strong Llc | |
8600 Us Highway 14 Ste 105 Crystal Lake IL 60012-2706 | |
(847) 533-5905 | |
Not Available |
Full Name | Laura Strong Llc |
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Speciality | Community/Behavioral Health |
Location | 8600 Us Highway 14, Crystal Lake, Illinois |
Authorized Official Name and Position | Laura Strong (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 8475335905 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Laura Strong Llc 8600 Us Highway 14 Ste 105 Crystal Lake IL 60012-2706 Ph: () - | Laura Strong Llc 8600 Us Highway 14 Ste 105 Crystal Lake IL 60012-2706 Ph: (847) 533-5905 |
NPI Number | 1255729935 |
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Provider Enumeration Date | 01/02/2015 |
Last Update Date | 01/02/2015 |
Medicare PECOS PAC ID | 3173849304 |
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Medicare Enrollment ID | O20150306001201 |
Identifier | Type | State | Issuer |
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1255729935 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | 071.008954 (Illinois) | Primary |
Provider Name | Laura Ann Strong |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1740678754 PECOS PAC ID: 4082930219 Enrollment ID: I20150306001300 |
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