Sheffer Psychological Services, Llc | |
34 W Grand Ave Ste 101 Fox Lake IL 60020-1224 | |
(847) 376-0125 | |
(847) 376-0125 |
Full Name | Sheffer Psychological Services, Llc |
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Speciality | Psychologist |
Location | 34 W Grand Ave Ste 101, Fox Lake, Illinois |
Authorized Official Name and Position | Erin B Sheffer (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 8478076236 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sheffer Psychological Services, Llc 302 Harding Ave Libertyville IL 60048-1767 Ph: (847) 807-6236 | Sheffer Psychological Services, Llc 34 W Grand Ave Ste 101 Fox Lake IL 60020-1224 Ph: (847) 376-0125 |
NPI Number | 1952809535 |
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Provider Enumeration Date | 01/29/2018 |
Last Update Date | 03/13/2024 |
Certification Date | 03/13/2024 |
Medicare PECOS PAC ID | 6002168887 |
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Medicare Enrollment ID | O20181005000047 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952809535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 071008931 (Illinois) | Primary |
Provider Name | Erin B Sheffer |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1831589654 PECOS PAC ID: 5597059212 Enrollment ID: I20160803001705 |
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