| Paula P. Merucci, Llc | |
|
2530 Crawford Ave Ste 201 Evanston IL 60201-4959 | |
| (847) 859-6033 | |
| (847) 241-0305 |
| Full Name | Paula P. Merucci, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2530 Crawford Ave Ste 201, Evanston, Illinois |
| Authorized Official Name and Position | Paula P Merucci (OWNER) |
| Authorized Official Contact | 8478596033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paula P. Merucci, Llc 3425 Harrison St Evanston IL 60201-4953 Ph: (847) 859-6033 | Paula P. Merucci, Llc 2530 Crawford Ave Ste 201 Evanston IL 60201-4959 Ph: (847) 859-6033 |
| NPI Number | 1114434404 |
|---|---|
| Provider Enumeration Date | 01/08/2018 |
| Last Update Date | 11/01/2024 |
| Certification Date | 11/01/2024 |
| Medicare PECOS PAC ID | 7012279870 |
|---|---|
| Medicare Enrollment ID | O20180315001250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114434404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 149017859 (Illinois) | Primary |
| Provider Name | Paula P Merucci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932542131 PECOS PAC ID: 5698070225 Enrollment ID: I20160219001068 |
Ross Psychological Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1123 Emerson St Ste 202, Evanston, IL 60201 Phone: 847-859-9094 | |
Skylight Healing Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1033 University Pl Ste 330, Evanston, IL 60201 Phone: 847-529-8300 | |
Crawford Avenue Group Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2530 Crawford Ave Ste 206, Evanston, IL 60201 Phone: 847-875-4411 | |
Chronic Illness Psychotherapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2530 Crawford Ave Ste 116, Evanston, IL 60201 Phone: 847-497-8374 | |
L. Roston Psychotherapy Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9512 Lincolnwood Dr, Evanston, IL 60203 Phone: 847-677-7661 Fax: 847-983-8947 |