| Oak Forest Psychological Service | |
|
6502 Joliet Rd Countryside IL 60525-4682 | |
| (708) 215-8400 | |
| (708) 215-8410 |
| Full Name | Oak Forest Psychological Service |
|---|---|
| Speciality | Psychologist |
| Location | 6502 Joliet Rd, Countryside, Illinois |
| Authorized Official Name and Position | Roger Sweis (CREDENTIALING OFFICER) |
| Authorized Official Contact | 7082158400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Forest Psychological Service 6502 Joliet Rd Floor 2 Countryside IL 60525-4613 Ph: (708) 215-8400 | Oak Forest Psychological Service 6502 Joliet Rd Countryside IL 60525-4682 Ph: (708) 215-8400 |
| NPI Number | 1225209414 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 06/12/2017 |
| Medicare PECOS PAC ID | 6507762580 |
|---|---|
| Medicare Enrollment ID | O20040326001218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225209414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Sharon J Depowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437365020 PECOS PAC ID: 3577632405 Enrollment ID: I20080519000643 |
| Provider Name | Karen I Nekolny-smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760542484 PECOS PAC ID: 6800065418 Enrollment ID: I20110815000939 |
| Provider Name | Tawana L Edgeson-steiner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639449911 PECOS PAC ID: 3870750961 Enrollment ID: I20120201000221 |
| Provider Name | Dilek M Mccombs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982948063 PECOS PAC ID: 9830343854 Enrollment ID: I20130129000050 |
| Provider Name | Edward J Klutcharch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861734600 PECOS PAC ID: 3577702893 Enrollment ID: I20130618000458 |
| Provider Name | Leo W Lavender |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609255819 PECOS PAC ID: 6002129350 Enrollment ID: I20150716000912 |
| Provider Name | Edwin Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881116382 PECOS PAC ID: 5799059432 Enrollment ID: I20170920000095 |
| Provider Name | Januari Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366132052 PECOS PAC ID: 6507223401 Enrollment ID: I20230608001170 |
| Provider Name | Laura Swayne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104430198 PECOS PAC ID: 2062855208 Enrollment ID: I20240205003658 |
Akeru Therapy Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5446 S Madison Ave, C/o Julie Skokna, Countryside, IL 60525 Phone: 872-256-3102 | |
Oak Forest Psychological Service Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6502 Joliet Rd, Countryside, IL 60525 Phone: 708-215-8400 Fax: 708-215-8410 | |
Oak Forest Psychological Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6502 Joliet Rd, Countryside, IL 60525 Phone: 708-215-8400 Fax: 708-215-8410 | |
Early Autism Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5705 Willow Springs Rd, Countryside, IL 60525 Phone: 312-914-0611 Fax: 312-929-0324 | |
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