| Neuro Assessment Services Pllc | |
|
2081 Calistoga Dr Ste 3n New Lenox IL 60451-4834 | |
| (815) 277-9906 | |
| Not Available |
| Full Name | Neuro Assessment Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2081 Calistoga Dr Ste 3n, New Lenox, Illinois |
| Authorized Official Name and Position | Pamela R Cook (OWNER) |
| Authorized Official Contact | 8152779906 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro Assessment Services Pllc 2081 Calistoga Dr Ste 3n New Lenox IL 60451-4834 Ph: (815) 277-9906 | Neuro Assessment Services Pllc 2081 Calistoga Dr Ste 3n New Lenox IL 60451-4834 Ph: (815) 277-9906 |
| NPI Number | 1922745546 |
|---|---|
| Provider Enumeration Date | 05/16/2022 |
| Last Update Date | 09/09/2022 |
| Certification Date | 09/09/2022 |
| Medicare PECOS PAC ID | 5496133662 |
|---|---|
| Medicare Enrollment ID | O20220531000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922745546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kirsten L Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053460634 PECOS PAC ID: 1557363587 Enrollment ID: I20070205000392 |
| Provider Name | Pamela Cook |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932506458 PECOS PAC ID: 5799083291 Enrollment ID: I20160418000955 |
| Provider Name | Sarah E Lamie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306023320 PECOS PAC ID: 1951771625 Enrollment ID: I20221221003259 |
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