Pathways Psychology Services P.c. | |
28w671 Garys Mill Road Winfield IL 60190 | |
(630) 293-9860 | |
(630) 293-9861 |
Full Name | Pathways Psychology Services P.c. |
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Speciality | Psychologist |
Location | 28w671 Garys Mill Road, Winfield, Illinois |
Authorized Official Name and Position | Joseph Michael Roszkowski (OWNER/PRESIDENT) |
Authorized Official Contact | 6302939860 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Pathways Psychology Services P.c. 28w671 Garys Mill Road Winfield IL 60190-1135 Ph: (630) 293-9860 | Pathways Psychology Services P.c. 28w671 Garys Mill Road Winfield IL 60190 Ph: (630) 293-9860 |
NPI Number | 1942485198 |
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Provider Enumeration Date | 01/07/2008 |
Last Update Date | 09/20/2022 |
Certification Date | 09/20/2022 |
Medicare PECOS PAC ID | 5294918017 |
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Medicare Enrollment ID | O20110429000591 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942485198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Joseph M Roszkowski |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1144352626 PECOS PAC ID: 1153504907 Enrollment ID: I20110502000216 |
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