| Michael Pica P.c. | |
|
4n701 School Rd Ste A St Charles IL 60175-6508 | |
| (630) 549-6497 | |
| (630) 549-0942 |
| Full Name | Michael Pica P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 4n701 School Rd Ste A, St Charles, Illinois |
| Authorized Official Name and Position | Michael Pica (PRESIDENT/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6303737349 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Pica P.c. 4n701 School Rd Ste A Saint Charles IL 60175-6508 Ph: (630) 549-6497 | Michael Pica P.c. 4n701 School Rd Ste A St Charles IL 60175-6508 Ph: (630) 549-6497 |
| NPI Number | 1730449315 |
|---|---|
| Provider Enumeration Date | 05/17/2012 |
| Last Update Date | 07/02/2019 |
| Medicare PECOS PAC ID | 1254665847 |
|---|---|
| Medicare Enrollment ID | O20190702001827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730449315 | NPI | - | NPPES |
| Provider Name | Michael Pica |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356455505 PECOS PAC ID: 3072705151 Enrollment ID: I20101007000621 |
| Provider Name | Olesia Shalayska |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558816371 PECOS PAC ID: 8224324017 Enrollment ID: I20180820002153 |
| Provider Name | Tanya C Gluzerman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417215831 PECOS PAC ID: 8628302163 Enrollment ID: I20190703000017 |
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