| Mcclymonds Psychological Services | |
|
55 E Monroe St Ste 3800 Chicago IL 60603-6030 | |
| (312) 881-6296 | |
| Not Available |
| Full Name | Mcclymonds Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 55 E Monroe St Ste 3800, Chicago, Illinois |
| Authorized Official Name and Position | James Mccylmonds (OWNER) |
| Authorized Official Contact | 3128816296 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcclymonds Psychological Services 55 E Monroe St Ste 3800 Chicago IL 60603-6030 Ph: () - | Mcclymonds Psychological Services 55 E Monroe St Ste 3800 Chicago IL 60603-6030 Ph: (312) 881-6296 |
| NPI Number | 1649792078 |
|---|---|
| Provider Enumeration Date | 07/07/2017 |
| Last Update Date | 04/17/2018 |
| Medicare PECOS PAC ID | 5597007112 |
|---|---|
| Medicare Enrollment ID | O20190501002000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649792078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.009367 (Illinois) | Primary |
| 103TH0100X | Psychologist - Health Service | 20042930A (Illinois) | Secondary |
| Provider Name | James R Mcclymonds |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679855209 PECOS PAC ID: 3870870595 Enrollment ID: I20170508000509 |
| Provider Name | James M Bovan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063571727 PECOS PAC ID: 9830296623 Enrollment ID: I20190501002250 |
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