| Steve Frisch Enterprises, Inc. | |
|
1500 Shermer Rd Northbrook IL 60062-5340 | |
| (847) 498-5611 | |
| Not Available |
| Full Name | Steve Frisch Enterprises, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1500 Shermer Rd, Northbrook, Illinois |
| Authorized Official Name and Position | Steve J Frisch (PRESIDENT) |
| Authorized Official Contact | 8474985622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steve Frisch Enterprises, Inc. 1512 Sycamore Ln Northbrook IL 60062-5440 Ph: (847) 498-5622 | Steve Frisch Enterprises, Inc. 1500 Shermer Rd Northbrook IL 60062-5340 Ph: (847) 498-5611 |
| NPI Number | 1689804502 |
|---|---|
| Provider Enumeration Date | 07/27/2009 |
| Last Update Date | 01/14/2014 |
| Medicare PECOS PAC ID | 2961539051 |
|---|---|
| Medicare Enrollment ID | O20100421000711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689804502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Provider Name | Steve Frisch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699932426 PECOS PAC ID: 4587791686 Enrollment ID: I20100421000735 |
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