Neurohealth Associates Pc | |
477 E Butterfield Rd Suite 310 Lombard IL 60148-5618 | |
(630) 969-3233 | |
Not Available |
Full Name | Neurohealth Associates Pc |
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Speciality | Clinical Neuropsychologist |
Location | 477 E Butterfield Rd, Lombard, Illinois |
Authorized Official Name and Position | Kyle Bonesteel (DIRECTOR) |
Authorized Official Contact | 6309693233 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neurohealth Associates Pc 477 E Butterfield Rd Suite 310 Lombard IL 60148-5618 Ph: (630) 969-3233 | Neurohealth Associates Pc 477 E Butterfield Rd Suite 310 Lombard IL 60148-5618 Ph: (630) 969-3233 |
NPI Number | 1295809630 |
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Provider Enumeration Date | 11/18/2006 |
Last Update Date | 11/26/2014 |
Medicare PECOS PAC ID | 5698734697 |
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Medicare Enrollment ID | O20041006000265 |
Identifier | Type | State | Issuer |
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1295809630 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103G00000X | Clinical Neuropsychologist | 071006163 (Illinois) | Primary |
Provider Name | Kyle R Bonesteel |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1194704213 PECOS PAC ID: 9133188139 Enrollment ID: I20041007000044 |
Provider Name | Melissa Ann Colon |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1528424512 PECOS PAC ID: 2264736123 Enrollment ID: I20160212001811 |
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