| Richard N Bolnick Psyd & Associates Pc | |
|
977 Lakeview Pkwy Suite 110 Vernon Hills IL 60061-1400 | |
| (847) 549-6650 | |
| (847) 549-7005 |
| Full Name | Richard N Bolnick Psyd & Associates Pc |
|---|---|
| Speciality | Psychologist |
| Location | 977 Lakeview Pkwy, Vernon Hills, Illinois |
| Authorized Official Name and Position | Richard Neal Bolnick (PRESIDENT) |
| Authorized Official Contact | 8475496650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard N Bolnick Psyd & Associates Pc 977 Lakeview Pkwy Ste 110 Vernon Hills IL 60061-1400 Ph: (847) 549-6650 | Richard N Bolnick Psyd & Associates Pc 977 Lakeview Pkwy Suite 110 Vernon Hills IL 60061-1400 Ph: (847) 549-6650 |
| NPI Number | 1649496019 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 01/24/2013 |
| Medicare PECOS PAC ID | 7214009026 |
|---|---|
| Medicare Enrollment ID | O20080710000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649496019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071003331 (Illinois) | Primary |
| Provider Name | Richard N Bolnick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164402798 PECOS PAC ID: 5991877805 Enrollment ID: I20080710000194 |
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