| Neurobehavioral Medicine Consultants Ltd | |
|
180 W Park Ave Ste 260 Elmhurst IL 60126-3372 | |
| (708) 643-4059 | |
| (844) 273-7876 |
| Full Name | Neurobehavioral Medicine Consultants Ltd |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 180 W Park Ave Ste 260, Elmhurst, Illinois |
| Authorized Official Name and Position | Patricia A Pimental (PRESIDENT) |
| Authorized Official Contact | 7086434059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurobehavioral Medicine Consultants Ltd 180 W Park Ave Ste 260 Elmhurst IL 60126-3372 Ph: (708) 643-4059 | Neurobehavioral Medicine Consultants Ltd 180 W Park Ave Ste 260 Elmhurst IL 60126-3372 Ph: (708) 643-4059 |
| NPI Number | 1437219870 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 02/26/2016 |
| Medicare PECOS PAC ID | 3375702160 |
|---|---|
| Medicare Enrollment ID | O20120314000641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437219870 | NPI | - | NPPES |
| 252600 | Other | IL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 071004014 (Illinois) | Primary |
| Provider Name | Patricia A Pimental |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073673406 PECOS PAC ID: 4284893074 Enrollment ID: I20120314000668 |
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