| Cognitive Clinic P C | |
|
9944 S Roberts Rd Ste 202 Palos Hills IL 60465-1558 | |
| (708) 586-9050 | |
| (708) 581-3939 |
| Full Name | Cognitive Clinic P C |
|---|---|
| Speciality | Counselor |
| Location | 9944 S Roberts Rd Ste 202, Palos Hills, Illinois |
| Authorized Official Name and Position | Carla Carter (PRESIDENT) |
| Authorized Official Contact | 7082677700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Clinic P C 9944 S Roberts Rd Ste 202 Palos Hills IL 60465-1558 Ph: (708) 586-9050 | Cognitive Clinic P C 9944 S Roberts Rd Ste 202 Palos Hills IL 60465-1558 Ph: (708) 586-9050 |
| NPI Number | 1770936585 |
|---|---|
| Provider Enumeration Date | 07/16/2016 |
| Last Update Date | 05/16/2024 |
| Certification Date | 05/16/2024 |
| Medicare PECOS PAC ID | 9032653357 |
|---|---|
| Medicare Enrollment ID | O20240627002632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770936585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.010304 (Illinois) | Primary |
| Provider Name | Lori Hunsaker Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639647209 PECOS PAC ID: 2961946280 Enrollment ID: I20240627002979 |
| Provider Name | Katrina Kurtz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528595097 PECOS PAC ID: 6002350345 Enrollment ID: I20240627003485 |
| Provider Name | Carla Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437589660 PECOS PAC ID: 2668916982 Enrollment ID: I20241106003484 |
Metropolitan Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10537 S Roberts Rd, Palos Hills, IL 60465 Phone: 708-974-2300 Fax: 708-974-2498 | |
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