| Resilience Psychological Services, Pc | |
|
303 E Wacker Dr Ste 1130 Chicago IL 60601-5227 | |
| (708) 567-4950 | |
| Not Available |
| Full Name | Resilience Psychological Services, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 303 E Wacker Dr Ste 1130, Chicago, Illinois |
| Authorized Official Name and Position | Ryan Dump (PRESIDENT) |
| Authorized Official Contact | 3126003935 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilience Psychological Services, Pc 303 E Wacker Dr Ste 1130 Chicago IL 60601-5227 Ph: (312) 600-3935 | Resilience Psychological Services, Pc 303 E Wacker Dr Ste 1130 Chicago IL 60601-5227 Ph: (708) 567-4950 |
| NPI Number | 1629443536 |
|---|---|
| Provider Enumeration Date | 12/03/2015 |
| Last Update Date | 07/08/2024 |
| Certification Date | 07/08/2024 |
| Medicare PECOS PAC ID | 0547568891 |
|---|---|
| Medicare Enrollment ID | O20160420000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629443536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ryan Richard Dump |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164779476 PECOS PAC ID: 1456659705 Enrollment ID: I20160420000005 |
| Provider Name | Jane Marshall Kemp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659026094 PECOS PAC ID: 0941678296 Enrollment ID: I20221117003085 |
| Provider Name | Alexa Keramidas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780398636 PECOS PAC ID: 5193197077 Enrollment ID: I20230203000216 |
| Provider Name | Naomi Sugunasingha |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043552342 PECOS PAC ID: 1052786027 Enrollment ID: I20230404001911 |
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