| Patrick J Kennelly And Associates P C | |
|
1340 Remington Rd Suite N Schaumburg IL 60173-4830 | |
| (847) 310-8578 | |
| (847) 310-9651 |
| Full Name | Patrick J Kennelly And Associates P C |
|---|---|
| Speciality | Psychologist |
| Location | 1340 Remington Rd, Schaumburg, Illinois |
| Authorized Official Name and Position | Patrick J Kennelly (DIRECTOR) |
| Authorized Official Contact | 8473108578 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick J Kennelly And Associates P C 1340 Remington Rd Suite N Schaumburg IL 60173-4830 Ph: (847) 310-8578 | Patrick J Kennelly And Associates P C 1340 Remington Rd Suite N Schaumburg IL 60173-4830 Ph: (847) 310-8578 |
| NPI Number | 1750430476 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 04/15/2011 |
| Medicare PECOS PAC ID | 2860425113 |
|---|---|
| Medicare Enrollment ID | O20050916000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750430476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Antoinette M Krakowski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073501490 PECOS PAC ID: 3678463833 Enrollment ID: I20040319000433 |
| Provider Name | Andrea F Benn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366430795 PECOS PAC ID: 6406809797 Enrollment ID: I20050228000081 |
| Provider Name | Terrence J Neary |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477552685 PECOS PAC ID: 8123177243 Enrollment ID: I20090520000476 |
| Provider Name | Ray S Kim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912906116 PECOS PAC ID: 0941334361 Enrollment ID: I20100819001060 |
| Provider Name | Patrick J Kennelly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720078157 PECOS PAC ID: 3971492174 Enrollment ID: I20110405000447 |
| Provider Name | Robert A Lasica |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043830771 PECOS PAC ID: 9830513357 Enrollment ID: I20200716002878 |
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