| North Shore Psychology Specialists, Pc | |
|
850 Blackberry Ct Gurnee IL 60031-5112 | |
| (847) 355-5041 | |
| Not Available |
| Full Name | North Shore Psychology Specialists, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 850 Blackberry Ct, Gurnee, Illinois |
| Authorized Official Name and Position | Anne Hachmeister-levin (PROVIDER) |
| Authorized Official Contact | 8473555041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Psychology Specialists, Pc 850 Blackberry Ct Gurnee IL 60031-5112 Ph: (847) 355-5041 | North Shore Psychology Specialists, Pc 850 Blackberry Ct Gurnee IL 60031-5112 Ph: (847) 355-5041 |
| NPI Number | 1396046900 |
|---|---|
| Provider Enumeration Date | 11/12/2010 |
| Last Update Date | 05/04/2022 |
| Certification Date | 05/04/2022 |
| Medicare PECOS PAC ID | 2668646829 |
|---|---|
| Medicare Enrollment ID | O20111128000280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396046900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071-004337 (Illinois) | Primary |
| Provider Name | Anne Hachmeister Levin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922153725 PECOS PAC ID: 8325212582 Enrollment ID: I20111128000367 |
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