Michael J. Athans, Ph.d. And Associates, Ltd. | |
32 Main St Suite D Park Ridge IL 60068-4060 | |
(847) 823-4444 | |
(847) 823-4456 |
Full Name | Michael J. Athans, Ph.d. And Associates, Ltd. |
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Speciality | Psychologist |
Location | 32 Main St, Park Ridge, Illinois |
Authorized Official Name and Position | Michael James Athans (DIRECTOR) |
Authorized Official Contact | 8478234444 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Michael J. Athans, Ph.d. And Associates, Ltd. 32 Main St Suite D Park Ridge IL 60068-4060 Ph: (847) 823-4444 | Michael J. Athans, Ph.d. And Associates, Ltd. 32 Main St Suite D Park Ridge IL 60068-4060 Ph: (847) 823-4444 |
NPI Number | 1235100140 |
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Provider Enumeration Date | 01/30/2006 |
Last Update Date | 11/08/2011 |
Medicare PECOS PAC ID | 3678590429 |
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Medicare Enrollment ID | O20051031000842 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235100140 | NPI | - | NPPES |
01633134 | Other | IL | BLUE CROSS PROVIDER NUMBE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 071003398 (Illinois) | Primary |
Provider Name | Lynda M Behrendt |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1831182534 PECOS PAC ID: 9830084953 Enrollment ID: I20040218000304 |
Provider Name | Michael J Athans |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1760499610 PECOS PAC ID: 3577580323 Enrollment ID: I20051103000185 |
Provider Name | Phyllis M Dawson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1346258449 PECOS PAC ID: 0840218954 Enrollment ID: I20051108000111 |
Provider Name | Susan Ann O'grady |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1366814758 PECOS PAC ID: 5799055075 Enrollment ID: I20170719001499 |
Provider Name | Jillian Marie Wickery |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1770816803 PECOS PAC ID: 1456610005 Enrollment ID: I20180105001355 |
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