| Midamerican Psychological Institute Pc | |
|
1415 Maple Rd Joliet IL 60432-1442 | |
| (815) 735-0732 | |
| (815) 722-7310 |
| Full Name | Midamerican Psychological Institute Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1415 Maple Rd, Joliet, Illinois |
| Authorized Official Name and Position | Daniel J Moran (OWNER) |
| Authorized Official Contact | 8157350732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midamerican Psychological Institute Pc 1415 Maple Rd Joliet IL 60432-1442 Ph: (815) 735-0732 | Midamerican Psychological Institute Pc 1415 Maple Rd Joliet IL 60432-1442 Ph: (815) 735-0732 |
| NPI Number | 1366558553 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 11/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366558553 | NPI | - | NPPES |
| 9932152 | Other | IL | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071006470 (Illinois) | Primary |
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