| Marcia S. Gibson, Psy.d And Associates, P. C.. | |
|
404 W Boughton Rd Ste B Bolingbrook IL 60440-1898 | |
| (630) 759-4000 | |
| (630) 759-5220 |
| Full Name | Marcia S. Gibson, Psy.d And Associates, P. C.. |
|---|---|
| Speciality | Clinic/Center |
| Location | 404 W Boughton Rd Ste B, Bolingbrook, Illinois |
| Authorized Official Name and Position | Marcia Susan Gibson (PRESIDENT) |
| Authorized Official Contact | 6307594000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marcia S. Gibson, Psy.d And Associates, P. C.. 404 W Boughton Rd Ste B Bolingbrook IL 60440-1898 Ph: (630) 759-4000 | Marcia S. Gibson, Psy.d And Associates, P. C.. 404 W Boughton Rd Ste B Bolingbrook IL 60440-1898 Ph: (630) 759-4000 |
| NPI Number | 1881922284 |
|---|---|
| Provider Enumeration Date | 11/23/2009 |
| Last Update Date | 04/20/2016 |
| Medicare PECOS PAC ID | 2365577160 |
|---|---|
| Medicare Enrollment ID | O20100605000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881922284 | NPI | - | NPPES |
| 1346434883 | Other | IL | NATIONAL PROVIDER IDENTIFICATION ENUMERATOR, TYPE 1 |
| Provider Name | Marcia S Gibson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346434883 PECOS PAC ID: 9739214537 Enrollment ID: I20100318000551 |
| Provider Name | Christine H Stryjewski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669126074 PECOS PAC ID: 0244607968 Enrollment ID: I20221108003546 |
| Provider Name | Rachel M Cohan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447024302 PECOS PAC ID: 3577904234 Enrollment ID: I20240513000436 |
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