| New Leaf Psychological Services, Inc. | |
|
2172 Techny Rd Northbrook IL 60062-6635 | |
| (773) 960-1163 | |
| (224) 415-3911 |
| Full Name | New Leaf Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 2172 Techny Rd, Northbrook, Illinois |
| Authorized Official Name and Position | Christina Irmgard Alexakos (OWNER/PRACTIONER) |
| Authorized Official Contact | 7739601163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Psychological Services, Inc. 2172 Techny Rd Northbrook IL 60062-6635 Ph: (773) 960-1163 | New Leaf Psychological Services, Inc. 2172 Techny Rd Northbrook IL 60062-6635 Ph: (773) 960-1163 |
| NPI Number | 1063829174 |
|---|---|
| Provider Enumeration Date | 07/21/2014 |
| Last Update Date | 07/27/2014 |
| Medicare PECOS PAC ID | 1850510413 |
|---|---|
| Medicare Enrollment ID | O20140912000744 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063829174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.008103 (Illinois) | Primary |
| Provider Name | Christina Irmgard Alexakos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265731533 PECOS PAC ID: 2062699648 Enrollment ID: I20110608000162 |
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