| T. Kacmarcik, Ltd | |
|
132 N Washington St Suite 2a Naperville IL 60540-4512 | |
| (630) 428-0068 | |
| Not Available |
| Full Name | T. Kacmarcik, Ltd |
|---|---|
| Speciality | Psychologist |
| Location | 132 N Washington St, Naperville, Illinois |
| Authorized Official Name and Position | Tara A Kacmarcik (PRESIDENT) |
| Authorized Official Contact | 8479890880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| T. Kacmarcik, Ltd 631 Beaver Ct Naperville IL 60563-9784 Ph: () - | T. Kacmarcik, Ltd 132 N Washington St Suite 2a Naperville IL 60540-4512 Ph: (630) 428-0068 |
| NPI Number | 1578835682 |
|---|---|
| Provider Enumeration Date | 02/04/2012 |
| Last Update Date | 02/04/2012 |
| Medicare PECOS PAC ID | 5294973103 |
|---|---|
| Medicare Enrollment ID | O20130605000523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578835682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 071006499 (Illinois) | Primary |
| Provider Name | Tara A Kacmarcik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245294842 PECOS PAC ID: 8123095015 Enrollment ID: I20040910000975 |
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