| Philip J Metres Jr, Ph.d.,p.c. | |
|
175 Old Hlf Day Rd Ste 205175 Lincolnshire IL 60069-3061 | |
| (847) 498-3623 | |
| Not Available |
| Full Name | Philip J Metres Jr, Ph.d.,p.c. |
|---|---|
| Speciality | Psychologist |
| Location | 175 Old Hlf Day Rd Ste 205175, Lincolnshire, Illinois |
| Authorized Official Name and Position | Philip John Metres (PRESIDENT/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8474983623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Philip J Metres Jr, Ph.d.,p.c. 175 Olde Half Day Rd Ste 205 Lincolnshire IL 60069-3063 Ph: (847) 498-3623 | Philip J Metres Jr, Ph.d.,p.c. 175 Old Hlf Day Rd Ste 205175 Lincolnshire IL 60069-3061 Ph: (847) 498-3623 |
| NPI Number | 1568728061 |
|---|---|
| Provider Enumeration Date | 04/09/2012 |
| Last Update Date | 01/17/2023 |
| Certification Date | 01/17/2023 |
| Medicare PECOS PAC ID | 2668638081 |
|---|---|
| Medicare Enrollment ID | O20120730000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568728061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071-0002256 (Illinois) | Primary |
| Provider Name | Philip J Metres |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578580213 PECOS PAC ID: 4284890617 Enrollment ID: I20120730000226 |
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