| Marcia Pavlou Phd Pc | |
|
721 N Grove Oak Park IL 60302 | |
| (312) 346-7733 | |
| (708) 848-0152 |
| Full Name | Marcia Pavlou Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 721 N Grove, Oak Park, Illinois |
| Authorized Official Name and Position | Marcia Pavlou (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3123467733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marcia Pavlou Phd Pc 721 N Grove Ave Oak Park IL 60302-1551 Ph: (312) 346-7733 | Marcia Pavlou Phd Pc 721 N Grove Oak Park IL 60302 Ph: (312) 346-7733 |
| NPI Number | 1437260015 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 11/26/2012 |
| Medicare PECOS PAC ID | 4486673308 |
|---|---|
| Medicare Enrollment ID | O20051121000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437260015 | NPI | - | NPPES |
| 054605000 | Other | MAGELLAN | |
| OR185 | Other | NY | IL BCBS |
| 21608111 | Other | BCBS OF IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 711959 (Illinois) | Primary |
| Provider Name | Marcia M Pavlou |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700997384 PECOS PAC ID: 9830118751 Enrollment ID: I20051128000798 |
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