| Michelle Horner, Psyd, Pllc | |
|
661 W Lake St Ste 2s Chicago IL 60661-1034 | |
| (312) 834-4245 | |
| Not Available |
| Full Name | Michelle Horner, Psyd, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 661 W Lake St Ste 2s, Chicago, Illinois |
| Authorized Official Name and Position | Michelle L Horner (OWNER) |
| Authorized Official Contact | 3128344245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Horner, Psyd, Pllc 661 W Lake St Ste 2s Chicago IL 60661-1034 Ph: () - | Michelle Horner, Psyd, Pllc 661 W Lake St Ste 2s Chicago IL 60661-1034 Ph: (312) 834-4245 |
| NPI Number | 1871330464 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 10/31/2024 |
| Certification Date | 10/31/2024 |
| Medicare PECOS PAC ID | 4981139706 |
|---|---|
| Medicare Enrollment ID | O20241203000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871330464 | NPI | - | NPPES |
| Provider Name | Michelle Horner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487178018 PECOS PAC ID: 5597131748 Enrollment ID: I20221013001296 |
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