| Mirjam Quinn And Associates, Ltd | |
|
10801 S Western Ave Ste 2b Chicago IL 60643-3225 | |
| (708) 586-7357 | |
| (773) 253-8410 |
| Full Name | Mirjam Quinn And Associates, Ltd |
|---|---|
| Speciality | Psychologist |
| Location | 10801 S Western Ave Ste 2b, Chicago, Illinois |
| Authorized Official Name and Position | Mirjam Quinn (OWNER) |
| Authorized Official Contact | 7085867357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mirjam Quinn And Associates, Ltd 10801 S Western Ave Ste 2b Chicago IL 60643-3225 Ph: (708) 586-7357 | Mirjam Quinn And Associates, Ltd 10801 S Western Ave Ste 2b Chicago IL 60643-3225 Ph: (708) 586-7357 |
| NPI Number | 1730577685 |
|---|---|
| Provider Enumeration Date | 12/30/2014 |
| Last Update Date | 10/23/2023 |
| Certification Date | 10/23/2023 |
| Medicare PECOS PAC ID | 7517315914 |
|---|---|
| Medicare Enrollment ID | O20231125000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730577685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.007554 (Illinois) | Primary |
| Provider Name | Melissa Littlefield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740827914 PECOS PAC ID: 1052745650 Enrollment ID: I20200107000053 |
| Provider Name | Lynette Hickey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689706749 PECOS PAC ID: 7719338854 Enrollment ID: I20240112002116 |
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