Oak Forest Psychological Service | |
6502 Joliet Rd Countryside IL 60525-4682 | |
(708) 215-8400 | |
(708) 215-8410 |
Full Name | Oak Forest Psychological Service |
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Speciality | Psychologist - Clinical |
Location | 6502 Joliet Rd, Countryside, Illinois |
Authorized Official Name and Position | Roger Sweis (CREDENTIALING OFFICER) |
Authorized Official Contact | 7082158400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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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 | 1326219510 |
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Provider Enumeration Date | 03/17/2008 |
Last Update Date | 06/12/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326219510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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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: Medicare Enrolled Practice Location: 6502 Joliet Rd, Countryside, IL 60525 Phone: 708-215-8400 Fax: 708-215-8410 | |
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