| Solution Center Pc | |
|
40142 N Rena Ave Antioch IL 60002-8413 | |
| (847) 395-7108 | |
| (847) 395-7017 |
| Full Name | Solution Center Pc |
|---|---|
| Speciality | Psychologist |
| Location | 40142 N Rena Ave, Antioch, Illinois |
| Authorized Official Name and Position | Linda Mary Brown (OWNER) |
| Authorized Official Contact | 8473957108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solution Center Pc 40142 N Rena Ave Antioch IL 60002-8413 Ph: (847) 395-7108 | Solution Center Pc 40142 N Rena Ave Antioch IL 60002-8413 Ph: (847) 395-7108 |
| NPI Number | 1568501963 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 01/11/2013 |
| Medicare PECOS PAC ID | 8426047325 |
|---|---|
| Medicare Enrollment ID | O20040506001578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568501963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.005504 (Illinois) | Primary |
| Provider Name | Linda M Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669520169 PECOS PAC ID: 7012906928 Enrollment ID: I20040507000724 |
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