| Mtca Psychological Services Of Illinois P.c. | |
|
1651 Richfield Avenue Highland Park IL 60035 | |
| (847) 583-9800 | |
| Not Available |
| Full Name | Mtca Psychological Services Of Illinois P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 1651 Richfield Avenue, Highland Park, Illinois |
| Authorized Official Name and Position | Grace G Palacio (PSYCHOLOGIST) |
| Authorized Official Contact | 7182686600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mtca Psychological Services Of Illinois P.c. 11835 Queens Blvd Suite 1403 Forest Hills NY 11375-7200 Ph: (718) 268-6600 | Mtca Psychological Services Of Illinois P.c. 1651 Richfield Avenue Highland Park IL 60035 Ph: (847) 583-9800 |
| NPI Number | 1477974152 |
|---|---|
| Provider Enumeration Date | 12/23/2013 |
| Last Update Date | 12/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477974152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 071007375 (Illinois) | Primary |
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