| Stephanie A Ross Licensed Clinical Psychologist Pc | |
|
3633 W Lake Ave Suite 400 Glenview IL 60026-5805 | |
| (773) 459-6756 | |
| (773) 728-8719 |
| Full Name | Stephanie A Ross Licensed Clinical Psychologist Pc |
|---|---|
| Speciality | Psychologist |
| Location | 3633 W Lake Ave, Glenview, Illinois |
| Authorized Official Name and Position | Stephanie A Ross (OWNED) |
| Authorized Official Contact | 7734596756 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie A Ross Licensed Clinical Psychologist Pc 3633 W Lake Ave Suite 400 Glenview IL 60026-5805 Ph: (773) 459-6756 | Stephanie A Ross Licensed Clinical Psychologist Pc 3633 W Lake Ave Suite 400 Glenview IL 60026-5805 Ph: (773) 459-6756 |
| NPI Number | 1760516660 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9234156068 |
|---|---|
| Medicare Enrollment ID | O20051031000616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760516660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
| Provider Name | Sarah Quinton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093147647 PECOS PAC ID: 4385875392 Enrollment ID: I20140314001348 |
| Provider Name | Kezia C Shirkey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952499865 PECOS PAC ID: 9931480803 Enrollment ID: I20170109000875 |
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