| Psychone Pc | |
|
130 Harrison St Barrington IL 60010 | |
| (847) 382-5688 | |
| (847) 382-5697 |
| Full Name | Psychone Pc |
|---|---|
| Speciality | Psychologist |
| Location | 130 Harrison St, Barrington, Illinois |
| Authorized Official Name and Position | Daniel J Dewitt (OWNER) |
| Authorized Official Contact | 8473925688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychone Pc 130 Harrison St Barrington IL 60010 Ph: (847) 382-5688 | Psychone Pc 130 Harrison St Barrington IL 60010 Ph: (847) 382-5688 |
| NPI Number | 1851455398 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 09/01/2010 |
| Medicare PECOS PAC ID | 6709900962 |
|---|---|
| Medicare Enrollment ID | O20100825000877 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851455398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 060-006541 (Illinois) | Primary |
| Provider Name | Daniel J Dewitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689737009 PECOS PAC ID: 7911022801 Enrollment ID: I20100915000984 |
| Provider Name | Patricia H Dewitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497818892 PECOS PAC ID: 3577755040 Enrollment ID: I20101004000425 |
| Provider Name | Timothy J Hull |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235292640 PECOS PAC ID: 7416149620 Enrollment ID: I20101006000877 |
| Provider Name | Nancy A Kunkel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235292103 PECOS PAC ID: 1951595412 Enrollment ID: I20101029000138 |
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